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� CITY OF ORONO PERMIT NO.: 2oiaoii�o <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/02/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1410 REST POINT RD <br /> PIN : 07-117-23-33-0001 <br /> LEGAL DESC : SUBD REST POINT PARK LAKE MTKA <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 4,000.00 <br /> NOTE: GAS FACTORY FIREPLACE-KOZY HEAT-MODEL NO. JOR-30 <br /> APPLICANT <br /> MECHANICAL 50.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 4342 B SHADY OAK RD TOTAL 55.00 <br /> HOPKINS,MN 55343 <br /> (952)933-1868 <br /> OWNER <br /> Lake Minnetonka Prop LLC <br /> 10122 INDIGO DR <br /> EDEN PRAIRIE, MN 55346- <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 const�uction authorized is not <br /> commenced within 1 SO 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 aze <br /> requested in conform ith the te ilding Code.This permit may be <br /> r vo d at any time for due ca e. <br /> _._ ._....__ <br /> � � � �tJ / oZ / �v <br /> Applican tee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />