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� � CITY OF ORONO * Z 0 1 6 - 0 0 2 3 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/14/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3185 CASCO CIR <br /> PIN : 20-117-23-43-0057 <br /> LEGAL DESC : SPRING PARK <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,000.00 <br /> NOTE: GAS FACTORY FIREPLACE-TOWN&COUNTRY,MODEL 42DE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.50 <br /> TWIN CITY FIREPLACE STONE CO INC MAIL-IN FEE 2.00 <br /> 6521 CECILIA CIR <br /> EDINA,MN 55439- TOTAL 53.50 <br /> (952)941-2685 Payment(s) <br /> Minnesota State License#: mech-MB682977 CREDIT CARD 5715 53.50 <br /> OWNER <br /> YAFFE,HARRY&BELLE <br /> 2300 ARCHERS LA <br /> MINNETONKA, MN 55305- <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 goveming 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 afrer 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 /> � � �, / , /� <br /> Applicant Per tee Signature Date [ssucd y 'gnature Date <br />