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CITY OF ORONO * 2 0 1 7 - 0 PJ 5 1 3 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OS/18/2017 <br /> ORONO,MN 55356- <br /> • (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 495 NORTH ARM DR <br /> PIN : 06-117-23-31-0014 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 21 BLOCK 3 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> ACTIVITY . _._ <br /> VALUATION : $ 8,915.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> NEW:2 GAS FIREPLACE HHT SL-5&8000C <br /> APPLICANT MECHANICAL 111.44 <br /> FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 4.46 <br /> 2700 FAIRVIEW AVE MAIL-IN FEE 2.00 <br /> ROSEVILLE,MN 55113 TOTAL 117.90 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#:mech-20512060 CREDIT CARD 4616 117.90 <br /> OWNER <br /> Norton Homes <br /> NORTON,CHRIS <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <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 goveming this type of work <br /> shall be compied with whether or not specified herein.This permit wi(I <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. p._ <br /> � /�� <br /> �Ok ( �-d- C�Lt� �p9�-k� �._e_e���(, �' � �5�� /� <br /> Applicant Permitee Sigr►ature Date Issued By Signature Date <br />