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r ' <br /> CITY OF ORONO 11111011111111111111111 <br /> * 2 0 1 6 - 0 1 0 7 5 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/01/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 155 TRUFFULA TR <br /> PIN 33-118-2344-0040 <br /> LEGAL DESC MEADOW WOOD POND <br /> LOT 006 BLOCK 001 <br /> PERMIT TYPE MECHANICAL <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> HEAT-N-GLO GAS FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 1.00 <br /> 100 ELDORADO DRIVE MAIL-IN FEE 2.00 <br /> JORDAN,MN 55352 TOTAL 53.00 <br /> (952)495-2927 Payment(s) <br /> CHECK 23542 53.00 <br /> OWNER <br /> STAGGS,JEFF <br /> 155 TRUFFULA TR <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 does <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 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 /> r, -L�'-k' �p / <br /> Applicant Permitee Signature Date Issued Signature Date <br />