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� <br /> i " <br /> CITY OF ORONO * Z 0 1 6 — 0 1 3 7 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/28/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1830 SHORELINE DR <br /> PIN : 10-117-23-42-0002 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.356 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 9,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (2)NAPOLEON GAS FIREPLACES <br /> (1)WOOD ORACLE FIREPLACE <br /> APPLICANT MECHANICAL 112.50 <br /> STATE SURCHARGE MECH(VALUATION) 4.50 <br /> TWIN CITY FIREPLACE STONE CO INC NIAIL-IN FEE 2.00 <br /> 6521 CECILIA CIR <br /> EDINA,MN 55439- TOTAL 119.00 <br /> (952)777-4125 Payment(s) <br /> Minnesota State License#:mech-MB682977 CHECK 21444 119.00 <br /> OWNER <br /> TUFAA&NEDIYO SADO,TASHITTA <br /> 1224 CEDAR POINTE DR N <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of Iaws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> exp've 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 /> �w�.�.ee r� �r' � D , ,�� <br /> Applicant Permitee Signature Date Issued y ignature Date <br />