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CITY OF ORONO ®* 2017 - 00194 *0 1 7 - 0 0 1 9 4 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/02/2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 500 WILLOW DR S <br /> PIN 03-117-23-32-0017 <br /> LEGAL DESC N/A <br /> LOT 001 BLOCK 001 <br /> PERMIT TYPE MECHANICAL <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIREPLACE-WOOD <br /> VALUATION $ 5,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> FACTORY BUILT WOOD BURNING FIREPLACES(2) <br /> BRAND-HEAT N GLO <br /> (1)MONTANA <br /> (1)EXCLAIM <br /> APPLICANT MECHANICAL 62.50 <br /> GLOWING HEARTH AND HOME <br /> STATE SURCHARGE MECH(VALUATION) 2.50 100 ELDORADO DRIVE MAIL-IN FEE 2.00 <br /> JORDAN,MN 55352 TOTAL 67.00 <br /> (952)495-2927 Payment(s) <br /> Minnesota State License#:mech-MB005786 CHECK 24578 67.00 <br /> OWNER <br /> MERRY,GRAHAM <br /> 3750 HUNTINGTON AVE S <br /> ST LOUIS PARK,MN 55416- <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 /> .3 / /7 <br /> Applicant Permilted Signature Date Issueb B ignature Date <br />