Laserfiche WebLink
CITY OF ORONO 1 WI IF [I 1111 LII <br /> * <br /> 2750 KELLEY PARKWAY * 2 0 1 7 - 0 1 4 1 3 <br /> DATE ISSUED: 11/01/2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4750 CREEKWOOD TR <br /> PIN : 30-118-23-33-0003 <br /> LEGAL DESC : PAINTERS WOODS <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 5,352.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> GAS FIREPLACE INSERT AND GAS INSERT <br /> ESCAPE-I35 <br /> APPLICANT MECHANICAL 66.90 <br /> STATE SURCHARGE MECH(VALUATION) 2.68 <br /> FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE TOTAL 71.58 <br /> ROSEVILLE,MN 55113 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#:mech-20512060 CREDIT CARD 4616 71.58 <br /> OWNER <br /> JELLISON,MR.&MRS. <br /> 4750 CREEKWOOD TR <br /> MAPLE PLAIN,MN 55359 <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 City approvals,and the <br /> State Building 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 /> (-1/14-A1-4.1) <br /> !, /1 , 0 ,/7 <br /> Applicant Permitee Signature Date ssued B •ignature Date <br />