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� CITY OF ORONO (� 111 i 1I l II 11 1 11 HIM El <br /> * 2012 - 00158 * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: 02/27/2012 <br /> • ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4550 WOLVERTON PL <br /> PIN : 31-118-23-31-0005 <br /> LEGAL DESC : FOXFYRE ESTATES <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 4,700.00 <br /> NOTE: 2 HEAT N GLO GAS FP 8000-C-IPI <br /> APPLICANT MECHANICAL 58.75 <br /> FIRESIDE HEARTH& HOME STATE SURCHARGE MECH(VALUATION) 2.35 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 <br /> (651)633-2561 MISC FEE 0.00 <br /> Minnesota State License#: 20512060 TOTAL 63.10 <br /> OWNER <br /> STEPHENSON,REVIS L <br /> 4550 WOLVERTON PL <br /> MAPLE PLAIN,MN 55359- <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 X11 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 /> —717€0--a <br /> Applicant Permitee Signature Date Issued By ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABS iE. <br />