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CITY OF ORONO 11111 I ,1I I I I l l II 3E1 <br /> ' * <br /> 2750 KELLEY PARKWAY * 2 1 6 - 0 1 5 9 <br /> DATE ISSUED: 12/22/22 016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 585 ORCHARD PARK RD <br /> PIN : 31-118-23-14-0001 <br /> LEGAL DESC : UNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> NEW GAS FIREPLACE ONLY(HEAT N GLO). NOTE:GAS LINE BEING DONE BY SOMEONE ELSE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.00 <br /> CONDOR FIREPLACE&STONE CO. MAIL-IN FEE 2.00 <br /> 8282 ARTHUR ST NE <br /> SPRING LAKE PARK,MN 55432 TOTAL 53.00 <br /> (763)786-2341 Payment(s) <br /> Minnesota State License#:mech-MB003841 CREDIT CARD 6743 53.00 <br /> OWNER <br /> THOMAS,DONALL&HENRIETA <br /> 585 ORCHARD PARK RD <br /> LONG LAKE,MN 55356- <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. I C r <br /> rt l li C! C 1�i.1 U � ��t��S1 1 2/ 2 Z� l L. <br /> Applicant Permitee Signature Date Issued By Signature Date <br />