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1111111111111111111111113 <br /> CITY OF ORONO * 2013 - 00261 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/18/2013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4655 TONKAVIEW LA <br /> PIN : 07-117-23-32-0064 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1036 <br /> LOT MB BLOCK MB <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIREPLACE-GAS <br /> VALUATION $ 3,300.00 <br /> NOTE: HEATILATOR GAS FIREPLACE-MODEL NO.GDFL4136I-37,000 BTU <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.65 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 <br /> (651)633-2561 TOTAL 53.65 <br /> Minnesota State License#:20512060 <br /> OWNER <br /> LICURSI,ANGELO&RACHEL <br /> 4655 TONKAVIEW LA <br /> MOUND,MN 55364- <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 /> oked at any time for a cause. <br /> i /"�/-/ <br /> Applicant Perrn'te tgnature Date ssue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />