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_ CITY OF ORONO * Z 0 1 6 - 0 0 1 2 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/08/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2945 JAMESTOWN RD <br /> PIN : 28-118-23-31-0005 <br /> LEGAL DESC : GARDEN GROVE <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,500.00 <br /> NOTE: NEW GAS FIREPLACE(TRAVIS) <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.25 <br /> PRACTICAL SYSTEMS MAIL-IN FEE 2.00 <br /> 4342B SHADY OAK RD <br /> HOPKINS,MN 55343 TOTAL 53.25 <br /> (952)933-1868 Payment(s) <br /> CHECK 8611 53.25 <br /> OWIYER <br /> WAHLIG,MICHEAL&JOELLEN <br /> 2945 JAMESTOWN RD <br /> LONG LAKE,MN 55356- <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 Ciry 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 I80 days of the date of issuance,or if construction is <br /> suspended for a period of 1 SO 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 /> ,� jGl� <br /> � . �-� � ��- �Z � � `S � �� <br /> � � �' ' ,p, <br /> Applicant Permitee Signature ate Issued By Signatu Date <br />