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' CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 4 - 0 0 8 7 5 * <br /> DATE ISSUED: 08/12/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2629 CASCADE LA <br /> PIN : 33-118-23-11-0114 <br /> LEGAL DESC : STONEBAY FIFTH ADDI`I,ION <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,200.00 <br /> NO'1'E: 1[f?A"i�-N-GLO GAS PIRF;PLACI�; <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH (VALUATION) 0.60 <br /> FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE TOTAL 52.60 <br /> ROSEVILLE, MN 551 13 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#: mech-20512060 CREDIT CARD 4608 52.60 <br /> OWNER <br /> BUILDERS LLC, STONEBAY <br /> 14870 BROCKTON LANE <br /> PLYMOUTH, MN 55446- <br /> AGREEMENT AND SWORN STATEMENT <br /> �he work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only fhe 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 whethcr 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 I 80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conlormance with the State Building Code."I his permit may be <br /> revoked at any time for due cause. <br /> ���:��� / � -� � 02- ✓ <br /> Applicant Permitee Si � re � Date ssue By Signature Date <br />