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' ' CITYOFORONO * z0 14 - 00839 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/OS/2014 <br /> ORONO, MN 55356- <br /> �: (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2385 GLENDALE COVG LA <br /> PIN : 34-118-23-33-0069 <br /> LEGAL DESC : GLENDALE COVE <br /> ; LOT O10 BLOCK OOl <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PRONERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE - GAS <br /> VALUATION : $ 850.00 <br /> No�i�r:: i firn�rii.�l�oR cns Fi� <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH (VALUATION) 0.43 <br /> FIRESIDE HEARTH & HOME MAIL-IN FEE 1.99 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 55113 TOTAL 52.42 <br /> (651)633-2561 Fayment(s) <br /> Minnesota State License #: mech-20512060 CHECK 2004786 52.42 <br /> OWNER <br /> ALPINE CAPITAL <br /> 9401 73RD AVE. N #400 <br /> BROOKLYN PARK, MN 55428- <br /> AGREEMENT AND SWORIY STATEMENT <br /> l�he���ork for which this permit is issued shall be performed according to <br /> the approved plans and speciYications,applicable City approvals,and the <br /> State[3uilding Code. This permit is for only the N�ork described and does <br /> not grant permission for additional or related work which requires separatc <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 /> commeneed within 180 days of the date of issuance,or it�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�vith the State E3uilding Code.'I�his permit may bc <br /> revoked at any time for due cause. <br /> �_� 1 ' ' " / / <br /> Applicant Permitee Signature Datc Issued I3y Si ature Date <br />