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• - � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * DA�TE ISSUED: �9/0 5 * <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3484 LYRIC AVE <br /> PIN : 17-117-23-43-0157 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT MB BLOCK 5 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,600.00 <br /> NOTE: HEAT&GLO <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.30 <br /> FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 TOTAL 53.30 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#:mech-20512060 CHECK 00020053 53.30 <br /> OWNER <br /> Grady Restoration <br /> 760 APPLE GARDEN RD <br /> MINNETRISTA,MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This pertnit is for only the work described and dces <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws 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. ,n .^ <br /> YNJ <br /> �o,,� ` �-�- `---�-r--�-�- y , �r , �S <br /> Applicant Permitee Signature Date Issued By Signature Date <br />