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� CITY OF ORONO * z 0 1 7 - 0 0 z 5 0 * <br /> 2'750 KELLEY PARKWAY DATE ISSUED: 03/17/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 770 LAKEVIEW PKWY <br /> P[N : 06-117-23-34-0011 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 8 BLOCK 3 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 17,057.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT F[NAL INSPECTION. <br /> (3)GAS FACTORY FIREPLACES -(2)HHT MODEL 8000 CLX AND(1)MONTANA 42 <br /> APPLICANT MECHANICAL 21321 <br /> STATE SURCHARGE MECH(VALUATION) 8.53 <br /> FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 55113 TOTAL 223.74 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#: mech-20512060 CREDIT CARD 4616 223.74 <br /> OWNER <br /> MAJKRZAK,JEFFREY&LISA <br /> 770 LAKEVIEW PKWY <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> State E3uilding 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 specitied 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 after work has commenced. <br /> The applicant is responsible for assuring all required inspec[ions are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. � <br /> � � � / � � // <br /> G <br /> Applicant Pe ' e Signature Date Issued Signature Date <br />