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CITY OF ORONO * z 0 1 5 - 0 1 4 5 4 * <br /> � � 2750 KELLEY PARKWAY DATE ISSUED: 1U12/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 908 DAKOTA AVE <br /> PIN : 26-118-23-33-0022 <br /> LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE <br /> : LOT 007 BLOCK 000 <br /> PERMIT TYPE : MECHAN[CAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATIOl�1 : $ 7,427.15 <br /> NOTE: HHT-GRAND 135C F[REPLACE <br /> APPLICANT MECHANICAL 92.84 <br /> STATE SURCHARGE MECH(VALUATION) 3.71 <br /> FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 55113 TOTAL 98.55 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#: mech-20512060 CREDIT CARD 4608 98.55 <br /> OWNER <br /> KNUTSON, SCOTT&JULIE <br /> 908 DAKOTA AVE <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his 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 l80 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 ny time for due cause. <br /> ,�C U -P/�� /� /�� � <br /> Applicant Permitee Signature Date Issued By gnature Date <br />