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� <br /> 4 � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 7 - 0 0 0 4 2 * <br /> DATE ISSUED: OU18/2017 <br /> ORONO,MN 55356- <br /> (952 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 485 STUBBS BAY RD N <br /> PIN : 32-118-23-24-0003 <br /> LEGAL DESC : UNPLATTED 32 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,053.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> ADDITIONAL-GAS FIREPLACE(KOZY HEAT) <br /> APPLICANT MECHANICAL 50.00 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 0.53 <br /> 100 ELDORADO DRIVE MAIL-IN FEE 2.00 <br /> JORDAN,MN 55352 TOTAL 52.53 <br /> (952)495-2927 Payment(s) <br /> Minnesota State License#:mech-MB005786 CHECK 24339 52.53 <br /> OWNER <br /> WILL,JOHN&JOCLYN <br /> 485 STUBBS BAY RD N <br /> LONG LAKE,MN 55356- <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 separate <br /> permits. All provisions of laws and ordinances governing 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. r <br /> . .-,, �-� ��> <br /> ►�1'�':� ► I �t�+ �:_.� _ ,c �_ ��_�._, �1�� , , ,�Y,, 1 <br /> Applicant Permit e ignature Date Issued By Si ature Date <br />