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CITY OF ORONO * 2 0 1 6 — 0 1 2 2 9 * <br /> � ' 2750 KELLEY PARKWAY DATE ISSUED: 09/29/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 580 NORTH ARM DR <br /> PIN : 06-117-23-42-0005 <br /> LEGAL DESC : VICTORIA ESTATES <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,500.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> PETERSON GAS LOG INSERT <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.25 <br /> WALTER MECHANICAL,INC. MAIL-IN FEE 2.00 <br /> 1013 E.CLIFF ROAD#101 <br /> BURNSVILLE,MN 55337 TOTAL 53.25 <br /> (952)895-1992 Payment(s) <br /> Minnesota State License#:mech-MB003448 CHECK 006141 53.25 <br /> OW1�1ER <br /> JOHNSON,BRYCE&PAULA <br /> 580 NORTH ARM DR <br /> MOLTND,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 permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permiu. 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 /> C��,p -e � 1� ,��,llo <br /> Applicant Permitee Signature Date Issued By ature Date <br />