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-� CITY OF ORONO * z 0 1 6 - 0 1 2 4 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/03/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 440 NORTH ARM DR <br /> P[N : 06-ll 7-23-31-0003 <br /> LEGAL DESC : VICTORIA ESTATES <br /> : LOT OOl BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,400.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT F1NAL INSPECTION. <br /> HEAT-N-GLO GAS FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> SAND CREEK DESIGN BUILD LLC STATE SURCHARGE MECH(VALUATION) 1.70 <br /> 3496 W 220TH ST TOTAL 51.70 <br /> JORDAN,MN 55352- Payment(s) <br /> (952)994-6682 CHECK 5158 51.70 <br /> Minnesota State License#: BUIL-BC649608 <br /> OWNER <br /> STERNAU, RENE <br /> 440 NORTH ARM DR <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEME1vT <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 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 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 /> , <br /> ` �� � � /�'� � � /.� <br /> Ap ' t Per�' e ignature a Issued By gnature Date <br />