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CITY OF ORONO * Z 0 1 6 - PJ 1 3 0 PJ * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/13/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1240 ARBOR ST <br /> PIN : 10-117-23-31-0099 <br /> LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,245.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> NEW:GAS F[REPLACE(HEAT&GLO) <br /> APPLICANT MECHANICAL 50.00 <br /> DRUK,TIMOTHY&JULIE STATE SURCHARGE MECH(VALUATION) 0.62 <br /> 4308 1 15TH STREET SE TOTAL 50.62 <br /> DELANO, MN 55328- Payment(s) <br /> CRED[T CARD 0179 50.62 <br /> OWNER <br /> DRUK, TIMOTHY&JULIE <br /> 4308 115TH STREET SE <br /> DELANO,MN 55328- <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,appiicable City approvals,and the <br /> State I3uilding Code. This permit is for only the work described and docs <br /> not grant permission for additional or related work�vhich 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 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 days at any time afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Buildin Code.This permit may be 1�,�� <br /> revoked at any f for due cause. �rG <br /> / � _� <br /> ,,- ; �-,�- ,� � `�-���} � � l.�' % (�, <br /> Applicant Permitee Signature Date Issued By Signatur Date <br />