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• ` CITY OF ORONO * 2 0 1 4 - 0 1 1 4 I� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/06/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1410 CHERRY PL <br /> PIN : 08-117-23-33-0081 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 004 <br /> PERM[T TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 11,138.00 <br /> NOTE: (2)GAS AND(1)WOOD E3URNING FIRGPLf1CF,S <br /> APPLICANT MECHANICAL 139.23 <br /> STATE SURCHARGE MECH (VALUATION) 5.57 <br /> GLOW[NG HEARTFI AND HOME MAIL-IN FEE 2.00 <br /> 100 ELDORADO DRIVE <br /> JORDAN, MN 55352 TOTAL 146.80 <br /> (952)495-2927 Payment(s) <br /> CHECK 19653 146.80 <br /> OWNER <br /> TORGERSON, KEVIN & TFRESA <br /> ]4l0 CHERRY PL <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for�vhich this pern�it is issucd 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.7'his 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 tbr a period of 180 days at any timc aYtcr work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Codc.This permit may be <br /> revoked at any time for due cause. <br /> � <br /> �� ���/�L�L/� � / / � <br /> Applicant Permitee Signature ate [ssued y Signature Date <br />