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CITY OF ORONO <br /> 2 � 2750 KELLEY PARKWAY * � 0 1 7 - 0 0 z 5 1 * <br /> DATE ISSUED: 03/17/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1830 SHORELINE DR <br /> PIN : 10-117-23-42-0002 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.356 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 5,094.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)GAS FACTORY FIREPLACE-MENDOTA-MODEL FV41 DECOR <br /> APPLICANT MECHANICAL 63.68 <br /> TWIN CITY FIREPLACE CO. STATE SURCHARGE MECH(VALUATION) 2.55 <br /> 6916 WASHBURN AVE. S. MAIL-IN FEE 2.00 <br /> MINNEAPOLIS, MN 55423- TOTAL 68.23 <br /> (612)282-2684 Payment(s) <br /> CHECK 21898 68.23 <br /> OWNER <br /> TUFAA&NEDIYO SADO,TASHITTA <br /> 1224 CEDAR POINTE DR N <br /> MINNETONKA, MN 55305- <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 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 Iaws and ordinances goveming 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 inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �-e! � � � C7 �l � <br /> Applicant Permitee Signature Date Issued By ignature Date <br />