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111111111111111111111111111 M <br /> CITY OF ORONO * 2 0 1 5 - 0 0 7 0 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/03/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 2490 OLD BEACH RD <br /> PIN 21-117-23-22-0005 <br /> LEGAL DESC SHORE HILLS <br /> LOT 004 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIREPLACE-GAS <br /> VALUATION $ 27,000.00 <br /> NOTE: 4 GAS FIREPLACES AND 1 WOOD BURNING <br /> APPLICANT MECHANICAL 337.50 <br /> TWIN CITY FIREPLACE STONE CO INC <br /> STATE SURCHARGE MECH(VALUATION) 13.50 6521 CECILIA CIR Payment(s) <br /> TOTAL 351.00 <br /> EDINA,MN 55439- <br /> (952)941-2685 CHECK 201510 351.00 <br /> Minnesota State License#:mech-MB682977 <br /> OWNER <br /> MCINTEE, SHAWN&JACQUELINE <br /> 2490 OLD BEACH RD <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 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 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. ll <br /> '6 e4�� <br /> Applicant Permitee Signa re Date Issued Signature L L_ Date <br />