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CITY OF ORONO * 2 0 1 6 — 0 0 3 4 6 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 04/07/2016 <br /> ` ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 515 KOKESH FARM RD <br /> PIN : 31-118-23-14-0009 <br /> LEGAL DESC : KOKESH FARMS <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 7,000.00 <br /> NOTE: ADDITIONAL:WOOD BURNING FIREPLACE(GEORGIAN)WITH GAS LOGSET INSET IN THE WOOD FIREPLACE(EIKIOR <br /> ULTIMATE 30) <br /> APPLICANT MECHANICAL 87.50 <br /> STATE SURCHARGE MECH(VALUATION) 3.50 <br /> TWIN CITY FIREPLACE STONE CO INC TOTAL 91.00 <br /> 6521 CECILIA CIR Payment(s) <br /> EDINA,MN 55439- CREDIT CARD 0657 <br /> (952)777-4125 91.00 <br /> Minnesota State License#:mech-MB682977 <br /> OWNER <br /> LITECKY,MARK&ANITA <br /> 515 KOKESH FARM RD <br /> MAPLE PLAIN,MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed acwrding 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 dces <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.l'his 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 inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � 4� <br /> �° ,., �, P�-�-�-�s� �� , �, � Iv <br /> Applicant Permitee gnature Date Issued y Signature Date <br />