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+ -`� CITY OF ORONO * 2 0 1 e — a 0 0 s 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: Ol/19/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1760 SHORELINE DR <br /> PIN : 10-117-23-14-0017 <br /> LEGAL DESC : N/A <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 5,800.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> GAS FIREPLACE-HEAT-N-GLO <br /> WOOD FIREPLACE-RUTHERFORD <br /> APPLICANT MECHANICAL 72.50 <br /> STATE SURCHARGE MECH(VALUATION) 2.90 <br /> GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 <br /> 100 ELDORADO DRIVE <br /> JORDAN,MN 55352 TOTAL 77.40 <br /> (952)495-2927 Payment(s) <br /> Minnesota State License#:mech-MB005786 CHECK 26372 77.40 <br /> OWNER <br /> KUHLMANN,MEREDITH <br /> 1760 SHORELINE DR <br /> WAYZATA,MN 55391- <br /> AGREEMENT A1�1D 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 dces <br /> not grant permission for additional or related work which requires separate <br /> permiu. 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 suthorized is not <br /> commenced within 180 days of the date of issuance,or if construc[ion 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 /> • �/ �l/ f / � / I � <br /> Applicant Permi ee Signature Date Issued By S ture Date <br />