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, . „ CITY OF ORONO * z 0 1 4 - 0 0 0 4 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: Ol/14/2014 <br /> ORONO,MN 55356- <br /> 952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2435 NORTH SHORE DR <br /> PIN : 09-117-23-44-0010 <br /> LEGAL DESC : SCOTCH PINE ADDN <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 12,000.00 <br /> NOTE: HEAT N GLO TRUE 50 AND REVENT EXISTIN GAS FIREPLACE <br /> APPLICANT MECHANICAL 150.00 <br /> STATE SURCHARGE MECH(VALUATION) 6.00 <br /> FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 MISC FEE 0.00 <br /> (651)633-2561 TOTAL 158.00 <br /> Minnesota State License#:mech-20512060 Payment(s) <br /> CHECK 2003400 158.00 <br /> OWNER <br /> HOUDE, MR. <br /> 2435 NORTH SHORE DR <br /> WAYZATA,MN 55391- <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 sepazate <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 after work has commenced. <br /> The applicant is responsible for assuring aIl required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> C <br /> ��1� / / <br /> ! <br /> Applicant Permitee Signature Date Issued By nature Date <br />