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r CITY OF ORONO * 2 0 1 7 — 0 1 1 2 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/14/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2465 NORTH SHORE DR <br /> PIN : 09-117-23-44-0012 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-WOOD <br /> VALUATION : $ 2,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> SET&VENT WOODBURNING INSERT ONLY <br /> APPLICANT MECHANICAL 50.00 <br /> WALTER MECHANICAL,INC. STATE SURCHARGE MECH(VALUATION) 1.00 <br /> 517 WEST TRAVELERS TRAIL M�►IL-IN FEE 2.00 <br /> BURNSVILLE,MN 55337 TOTAL 53.00 <br /> (952)895-1992 Payment(s) <br /> Minnesota State License#:mech-MB003448 CHECK 006592 53.00 <br /> OWNER <br /> LINDAHL,B JOHN <br /> 2485 NORTH SHORE DRIVE <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he 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 Building Code. This permit is for only the work described and does <br /> not gant 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 construcrion is <br /> suspended for a period of 1 SO days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conforcnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. ' <br /> � ��� �� /�`_'i �7 <br /> � <br /> Applicant Permitee Signature Date Issued Signature Date <br />