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� ' CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 7 — PJ 1 S 7 4 * <br /> DATE ISSUED: 1 U30/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 723 STONEBAY DR <br /> PIN : 33-118-23-I1-0068 <br /> LEGAL DESC : STONEBAY THIRD ADDITION <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,890.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> GAS FIREPLACE-MODEL SL-7 <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 0.95 <br /> 2700 FAIRVIEW AVE MAIL-IN FEE 2.00 <br /> ROSEVILLE,MN 55113 TOTAL 52.95 <br /> (651)633-2561 Payment(s) -� <br /> Minnesota State License#:mech-20512060 CREDIT CARD 4616 52.95 <br /> OWNER <br /> Wooddale Builders <br /> 6117 BLUE CIRCLE DRIVE <br /> SUITE 101 <br /> MINNETONKA,MN 55343- <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 gant permission for additional or related work which requires separate <br /> pertnits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction suthorized 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 /> G / / / <br /> Applicant Permitee ignature Date Issued By i ahue Date <br />