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„ CITY OF ORONO * z 0 1 6 - 0 0 0 8 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU25/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 660 SANDSTONE CIR <br /> PiN : 33-118-23-11-0056 <br /> LEGAL DESC : STONEBAY <br /> : LOT 007 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,320.00 <br /> NOTE: NEW GAS FIREPLACE(HHT) <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.66 <br /> FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 TOTAL 52.66 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#:mech-20512060 CREDIT CARD 4608 52.66 <br /> OWNER <br /> Stonebay Builders LLC <br /> 14870 BROCTON LANE <br /> DAYTON,MN 55327- <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 /> � � - � � ��� ���� � ���� �,. <br /> I� , r � ' '�;�� �'���;;'��:'� r .� c �{-P,�', i "�—�> � � �,� <br /> Applicant Permitee Signature � Date Issued By Sign�fure Date <br />