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� � <br /> CITY OF ORONO * 2 0 1 s - 0 0 1 1 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/04/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1025 SPRING HILL RD <br /> PIN : 26-118-23-43-0005 <br /> LEGAL DESC : LJNPLATTED 26 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 14,255.00 <br /> NOTE: (3)FIREPLACES <br /> I�EAT-N-GLO IN FAMILY ROOM <br /> HHT/TRUE-50-GREAT ROOM <br /> HHT/SLR-C-MASTER BEDROOM <br /> APPLICANT MECHANICAL 178.19 <br /> STATE SURCHARGE MECH(VALUATION) 7.13 <br /> FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 TOTAL 187.32 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#:mech-20512060 CREDIT CARD 4608 187.32 <br /> OWNER <br /> BOWLSBY,JOHN&CYNDY <br /> 1025 SPRING HILL ROAD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances governing this rype of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become nu11 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 after 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 /> . <br /> c rn�,c,�.ed� -?��� d � � � 1,� <br /> Applicant Permitee Signature Date Iss ed y Signature Date <br />