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CITY OF ORONO * z 0 1 6 - 0 0 2 0 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/29/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1380 BRIAR ST <br /> PII� : 10-117-23-31-0053 <br /> LEGAL DESC : MARKVILLE <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUAT[ON : $ 1,500.00 <br /> NOTE: SUPERIOR GAS FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCI-IARGE MECH(VALUATION) 0.75 <br /> HAGEN FIREPLACE SOLUTIONS TOTAL 50.75 <br /> 435 FAIRVIEW AVE N <br /> LJNIT 2 Payment(s) <br /> ST PAUL, MN 55104- CHECK 2443 50.75 <br /> (612) 839-7595 <br /> Minnesota State License#: mech-MB680260 <br /> OWNER <br /> ZITZLOFF,JEFFREY& BRENDA <br /> 1380 BRIAR ST <br /> WAYZATA, MN 55391- <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 l80 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 conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />