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, CITY OF ORONO PERMIT NO.: 20��-o�soo <br /> , 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ►ssuEn: 12/OU2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3315 GRAHAM HILL RD <br /> PIN : OS-117-23-11-0007 <br /> LEGAL DESC : GRAHAM HILL PRESERVE <br /> : LOT 6 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 18,665.00 <br /> NOTG: H-N-G ESCAPE 42 GAS FP <br /> I I-N-G ESCAPE 42 GAS FP <br /> H-N-G GVEREST GAS FP <br /> H-N-G CASTLEWOOD FP <br /> APPLICANT MECHANICAL 233.31 <br /> FIRESIDE HEARTH& HOME STATE SURCHARGE MECH(VALUATION) 9.33 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 551 13 MAIL-IN FEE 2.00 <br /> (651)633-2561 M[SC FEE 0.00 <br /> Minnesota State License#: 20512060 TOTAL 244.64 <br /> PAID WITH CC# 4616 <br /> OWNER <br /> HEURUNCT, MARK& SUE <br /> 225 6TH ST S#2900 <br /> MINNEAPOL[S, MN 55402- <br /> AGREEMENT AND SWORN STATEMENT <br /> T'he work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for addi[ional or related work which requires separa[e <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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspec[ions are <br /> rcquested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � K� � � � i i <br /> Applicant Permitee Signature Date Issued By i nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />