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CITY OF ORONO * z 0 1 5 - 0 1 1�4�6� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/09/2015 <br /> t ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2735 DEER RUN TR E <br /> PIN : 04-117-23-13-0013 <br /> LEGAL DESC : N/A <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : MECHAN[CAL(>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,000.00 <br /> NOTE: 2 GAS FIREPLACES <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH (VALUAT[ON) 1.00 <br /> HAGEN FIREPLACE SOLUTIONS TOTAL 51.00 <br /> 435 FAIRV[EW AVE N <br /> UN[T 2 Payment(s) <br /> CHECK 2341 51.00 <br /> ST PAUL, MN 55104- <br /> (612)839-7595 <br /> Minnesota State License#: mech-MB680260 <br /> OWIVER <br /> NIH HOMES <br /> 6840 213TH AVE <br /> ELK R[VER, MN 55330- <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 permii 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 'r� <br /> revoked at any time for due cause. ���� <br /> � � � �� J� ��1 l,�.l_� -� S v �� � ��� � � 5 <br /> Applicant Permitee Signature Date Issued By Signature Date <br />