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` ' CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 7 - 0 0 5 8 7 * <br /> DATE ISSUED: 06/OU2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1220 LYMAN AVE <br /> PIN : 35-118-23-34-0016 <br /> LEGAL DESC : LYMAN WOODS <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 4,185.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> HHT GAS FACTORY FIREPLACE <br /> APPLICANT MECHANICAL 52.31 <br /> STATE SURCHARGE MECH(VALUATION) 2.09 <br /> FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 TOTAL 56.40 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#:mech-20512060 CREDIT CARD 4616 56.40 <br /> OWNER <br /> BENSON, SEAN&ALISA <br /> 1220 LYMAN AVE <br /> WAYZATA,MN 55391- <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 dces <br /> not grant permission for additional or related work which requires separate <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 l80 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 /> � �/ �l / /7 <br /> Applicant Permitee Signature Date Issued B gnature Date <br />