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, � <br /> CITY OF ORONO * Z 0 1 4 - 0 0 8 7 4 * <br /> 2750 KELLEY PARKWAY �ATE �SSUED: 08/12/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3535 CHRISTINE DR <br /> PIN : OS-117-23-12-0019 <br /> LEGAL DESC : BETZ ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE -GAS <br /> VALUATION : $ 3,560.00 <br /> NOTE: 1 fl-;A"I'-N-GI,O GAS FIREPL,ACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.78 <br /> FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVB <br /> ROSEV[LLE, MN 551 l3 TOTAL 53.78 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#: mech-20512060 CREDIT CARD 4608 53.78 <br /> OWNER <br /> NELSON, ER[C <br /> 3535 CHRISTINE DR <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 specitications,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. l�ll 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 /> I'he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the Statc Building Code."I'his permit may be <br /> revoked at any[ime for due cause. <br /> �� l G-C_ ���i�� 8' i/�- l/`7� <br /> Applicant Pennitee Signa ure D e Issue y Signature Date <br />