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CITY OF ORONO PERMIT NO.: 2008-00311 <br /> I 2750 KELLEY PARKWAY <br /> .. ORONO,MN 55356- DATE ISSUED: 10/20/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 585 BROWN RD S <br /> PIN : 03-117-23-31-0003 <br /> LEGAL DESC : UNPLATTED 03 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 5,975.00 <br /> NOTE: <br /> 2 HEAT N GLO GAS FIREPLACES <br /> ' APPLICANT MECHANICAL 74.69 <br /> FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 2.99 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 MAIL-IN FEE 1.50 <br /> (651)633-2561 TOTAL 79.18 <br /> Minnesota State License#:20512060 <br /> OWNER <br /> CULLITON,JOHN <br /> 6225 E SLINNYFIELD RD <br /> MINNETRISTA,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed acwrding 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 laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.T'his 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. <br /> �j'{LQ.t.0 Lit �8 � � � �p �pj i.p � p�' <br /> Applicant Permitee Signature Date Issued By Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE ABOVE. <br />