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t � CITY OF ORONO * 2 0 1 5 - 0 1 z 4 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/25/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2755 ETHEL AVE <br /> PIN : 20-117-23-24-0017 <br /> LEGAL DESC : CASCO HEIGHTS <br /> : LOT 006 BLOCK 003 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,296.25 <br /> NOTE: (HEAT N GLO) <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.15 <br /> FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 55113 TOTAL 53.15 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#: mech-20512060 CREDTT CARD 4608 53.15 <br /> OWNER <br /> Everlast Enterprises, [nc. <br /> CLEARY,JAMES <br /> 4109 NORTH SHORE DR <br /> MOLJND,MN 55364- <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 sepazate <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 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 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 /> �� �� <br /> y���C� i �cc� �`Z �� � (�����_, � �` _ L��� � L� �l ��i l� <br /> � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />