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� CITYOFORONO * 2014 — PJ090P1 * <br /> 2750 KELLEY PARKWAY �AT� issuE�: 08/14/2014 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-�616 <br /> ADDRESS : 2220 FRENCH CREEK CIR <br /> PIN : 10-117-23-32-0004 <br /> LEGAL DESC : FRENCH CREEK <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 8,600.00 <br /> N07�1:: 2 fll:nA�[�'v GLO GAS I�P <br /> APPLICANT MECHANICAL 107.50 <br /> STATE SURCHARGE MECH (VALUATION) 4.30 <br /> FIRESIDE HEARTH & HOME <br /> 2700 Ff11RV[F,W AVE MAIL-IN FEE 2.00 <br /> ROSEV[LLE, MN SSl l3 TOTAL 113.80 <br /> (651)633-2561 Nayment(s) <br /> Minnesota State License#: mech-20512060 CHECK 2004617 113.80 <br /> OWNER <br /> FAYFIELD, ROBERT& JEANNE <br /> 2220 FRENCH CREEK CIR <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWOI2N STATGMENT <br /> l�he H�ork ior which Uiis permit is issued shal]be perlormed ticcordine to <br /> thc approved plans and specifications,applicable City approvals,and thc <br /> State Building Code. 7�his permit is for only thc work described and does <br /> not grant permission for additional or related work which requires scparate <br /> permits All provisions of laws and ordinances goveming this type of work <br /> shall be compied with w�hether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of die date of issuance,or if construction is <br /> suspcnded for a period ot�180 days at any time after work has commenced. <br /> I�he applicant is responsible for assurin�all required inspections are <br /> requested in cont��rmance with the State[3uildine Code.�I�his permit may be <br /> revoked at any time for due cause. <br /> \�� / / <br /> Applicant Pennitee Signature Date Issued By Si •ture Datc <br />