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CITY OF ORONO * 2 0 1 7 - 0 0 1 1 7 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 02/09/2017 <br /> , ORONO, MN 55356- <br /> � � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRE�S : 225 HOLLANDER RD <br /> PIN : 25-118-23-44-0007 <br /> LEGAL DESC : HOLLY ACRES 2ND ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 4,814.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT F[NAL INSPECTION. <br /> REPLACE:GAS FACTORY FIREPLACE(HHT)AND GAS LINE <br /> APPLICANT MECHANICAL 60.18 <br /> STATE SURCHARGE MECH(VALUATION) 2.41 <br /> FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 55113 TOTAL 64.59 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#:mech-20512060 CREDIT CARD 4616 64.59 <br /> OWNER <br /> CLOSE,JILL&LOUIS <br /> 225 HOLLANDER RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORI�1 STATEMENT <br /> The work for which this permit is issucd shall be performed according to <br /> the approved plans and specifications,applicable Ciry 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 180 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 Building Code.This permit may be � � j <br /> ti,l <br /> revoked at any time for due cause. � I <br /> ,, � . <br /> ,, � <br /> , � ; � _ ; <br /> � � � � �l I _ �_� � (� � . � � , -, <br /> � <br /> J ��[ � t; �, r 1'-� � � � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />