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CITY OF ORONO * z 0 1 6 - 0 0 1 1 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/03/2016 <br /> ` ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 100 CREEK RIDGE PASS <br /> P[N : 03-117-23-12-0016 <br /> LEGAL DESC : CREEKSIDE IN ORONO <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : FIREPLACE-GAS <br /> VALUATION : $ 8,000.00 <br /> NOTE: 3 GAS FIREPLACES& 1 WOOD FIREPLACG <br /> APPLICANT MECHANICAL 100.00 <br /> STATE SURCHARGE MECH(VALUATION) 4.00 <br /> PRACTICAL SYSTEMS TOTAL 104.00 <br /> 4342B SHADY OAK RD Payment(s) <br /> HOPKINS,MN 55343 CHECK 8605 104.00 <br /> (952)933-1868 <br /> OWNER <br /> PETERS,BARRY& KRIS <br /> 19210 HACKAMORE ROAD <br /> CORCORAN, MN 55340- <br /> AGREEMENT AIVD 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 rype 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 l80 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 /> i "� <br /> i <br /> �� _ - � ".� � � � r ���,���=�S�. Zf 3 i I lp <br /> Applicant Perm�tee Signature Date Issued By Signature Date <br />