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CITY OF ORONO 1111111111 IiI I 1 I I 1 I I I1I <br /> 2750 KELLEY PARKWAY * 2017 - 00800 * <br /> ' DATE ISSUED: 07/12/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4575 WOLVERTON PL <br /> PIN : 31-118-23-31-0007 <br /> LEGAL DESC : FOXFYRE ESTATES <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 6,737.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> HEAT-N-GLO FACTORY FIREPLACE <br /> APPLICANT MECHANICAL 84.21 <br /> COMFORT BY DESIGN STATE SURCHARGE MECH(VALUATION) 3.37 <br /> 240 NORTH BROADWAY MAIL-IN FEE 2.00 <br /> ELLS WORTH,WI 54011- TOTAL 89.58 <br /> Payment(s) <br /> CREDIT CARD 9398 89.58 <br /> OWNER <br /> JOHNSON,REBECCA L <br /> 4575 WOLVERTON PL <br /> MAPLE PLAIN,MN 55359- <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 /> Applicant Permitee Signature Date Issued y Signature Date <br />