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CITY OF ORONO * Z 0 1 5 - 0 0 1 9 9 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 02/13/2015 <br /> � ORONO, MN 55356- <br /> 952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 1555 MAPLE PL <br /> PIN : 08-117-23-33-0030 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 008 BLOCK 006 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,000.00 <br /> NOTE: GAS FACTORY FIREPLACE,LENNOX <br /> APPLICANT MECHANICAL 52.50 <br /> STATE SURCHARGE MECH(VALUATION) 0.50 <br /> GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 <br /> ]00 ELDORADO DRIVE <br /> TOTAL 55.00 <br /> JORDAN,MN 55352 <br /> (952)495-2927 Payment(s) <br /> CHECK 20427 55.00 <br /> OWNER <br /> Atlas Homes <br /> 14450 117TH AVE N <br /> DAYTON, MN 55367- <br /> AGREEMENT A1vD 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 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 a[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. /f%-� <br /> }'' �� � y . ��� �� �� J .. <br /> � 1� � � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />