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1 CITY OF ORONO 111111111111111111111 IN 111111111111111111111 IM <br /> 2750 KELLEY PARKWAY * 2 PJ 1 6 - 0 0 7 <br /> DATE ISSUED: 08/11 0/22 016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 3085 WATERTOWN RD <br /> PIN : 04-117-23-22-0032 <br /> LEGAL DESC : WALNUT CREEK <br /> LOT 001 BLOCK 001 <br /> PERMIT TYPE MECHANICAL <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIREPLACE-WOOD <br /> VALUATION $ 4,600.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> MORSO WOOD STOVE <br /> APPLICANT MECHANICAL 57.50 <br /> WOODLAND STOVES&FIREPLACES <br /> STATE SURCHARGE MECH(VALUATION) 2.30 2901 E.FRANKLIN AVE. MAIL-IN FEE 2.00 <br /> MINNEAPOLIS,MN 55403- TOTAL 61.80 <br /> (612)338-6606 Payment(s) <br /> CHECK 47366 61.80 <br /> OWNER <br /> GERHART,RICHARD&JANICE <br /> 3085 WATERTOWN RD <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 /> ey)'t cu,& P <br /> Applicant Permitee Signature Date Issued By LlIgnature Date <br />