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CITY OF ORONO * 2 0 1 4 - 0 0 6 6 8 * <br /> , 2750 KELLEY PARKWAY pATE issuE�: 06/30/2014 <br /> ORONO, MN _55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1535 FA[RVIEW CO"I'"TAGG LA <br /> PIN : 07-117-23-43-0007 <br /> LECAL DESC : ORCHARD BEACF{ <br /> : LOT 003 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 4,600.00 <br /> NOTE: 2 I fI;A"C N GLO GAS FP <br /> APPLICANT MECHANICAL 57.50 <br /> STATE SURCHARGE MECH (VALUATION) 2.30 <br /> GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 <br /> 100 ELDORADO DRIVE <br /> JORDAN, MN 55352 TOTAL 61.80 <br /> (952)495-2927 Payment(s) <br /> CHECK 19158 61.80 <br /> OWNER <br /> HOUCK, DANIEL&JnNE <br /> 1705 ELDORADO CIR <br /> SUPERIOR, CO 80027- <br /> AGREEMENT AND SWORN STATEMENT <br /> �Che work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and Uie <br /> State l3uilding Code. 'I�his permit is fbr only the��ork described and does <br /> not grant permission for additional or rclated���ork���hich requires scparate <br /> perniits. nll provisions of laws and ordinances governing this type of work <br /> shall be compied with�ahether or not specitied herein.'I�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 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 F3uilding Code."fhis permit may be <br /> revoked at am�time for due cause. <br /> �_/�,1�.5/`�t,C / / <br /> ` <br /> npplicant Permitee Sign�ture Date Issued I3y Sig ure Date <br />