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CITY OF ORONO * 2 0 1 7 - 0 0 5 z 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/19/2017 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 725 LAKEVIEW PKWY <br /> PIN : 06-117-23-34-0008 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 20 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 8,300.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (3)GAS FIREPLACES-SET AND VENT <br /> GASLINE BY OTHERS <br /> APPLICANT . MECHANICAL 103.75 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 4.15 <br /> 100 ELDORADO DRIVE MAIL-IN FEE 2.00 <br /> JORDAN, MN 55352 TOTAL 109.90 <br /> (952)495-2927 Payment(s) <br /> Minnesota State License#: mech-MB005786 CHECK 25037 109.90 <br /> OW1vER <br /> RUSIN,GRANT&AMANDA <br /> 15508 60TH AVE N <br /> PLYMOUTH,MN 55446- <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 City 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 wi[hin 180 days of the date of issuance,or if construc[ion 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 /> � � � ��7 �5 � /1� /7 <br /> Applicant Permitee Signature Date Issued By ature Date <br />