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� � CITY OF ORONO <br /> * 2 0 1 4 - 0 0 7 7 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUEU: 07/23/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2524 SANDSTONE LA <br /> PIN : 33-118-23-11-0019 <br /> LEGAL DESC : STONEBAY <br /> : LOT 016 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,125.00 <br /> NO"I�E: Gi1S FACTORY PIf2EYLACE <br /> APPLICANT MECHANICAL 39.06 <br /> STATE SURCHARGE MECH(VALUATION) 1.56 <br /> FIRESIDE HEARTH & HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE TOTAL 42.62 <br /> ROSEVILLE, MN 551 13 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#: mech-20512060 CHECK 2004562 42.62 <br /> OWIVER <br /> Stonebrook Homes <br /> 1016 COVETRY PL <br /> EDINA, MN 55424- <br /> AGREEMENT AND SWORN STATEMENT <br /> l�he work for which this pemiit is issued shall be perforined according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This pennit is for only the work described and docs <br /> not grant permission for additional or related work which requires separate <br /> permi[s. All provisions of laws and ordinances governing[his type of work <br /> shall be compied with whether or not spccified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afier work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> C - � /�/� , � <br /> Applicant Permitee Signature Date Issued Signature Date <br />