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CITY OF ORONO * Z 0 1 6 - PJ 1 4 6 3 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 1U23/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1450 CHERRY PL <br /> PIIV : 08-117-23-33-0016 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATIOIY : $ 4,462.05 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> REPLACE:GAS FACTORY FIREPLACE (HHT) <br /> APPLICANT MECHANICAL 55.78 <br /> STATE SURCHARGE MECH(VALUATION) 2.23 <br /> FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE TOTAL 60.01 <br /> ROSEVILLE, MN 55113 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#: mech-20512060 CREDIT CARD 4616 60.01 <br /> OWNER <br /> SCHAIBLE, TODD&MICHELLE <br /> 1450 CHERRY PL <br /> MOUND, 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 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 1 RO days at any time after work has commenced. <br /> The applicant is responsible for assuring aIl required inspections are <br /> requested in conformance with the State Quilding Code.This permit may be <br /> revoked at any time for due cause. ��i�-� <br /> , <br /> �� / <br /> � l�'-��� � � ,�� ��J��_��CJ �� � � � =� �'�.' <br /> Applicant Permitee Signature � Date Issued By Signature Date <br />