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` CITY OF ORONO PERMIT NO.: 2oos-oo22g <br /> � 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 09/17/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2118 SHADYWOOD RD <br /> PIN : 17-117-23-42-0016 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,000.00 <br /> NOTE: <br /> 1 HEAT N GLO DAKOTA GAS FIREPLACE <br /> � <br /> I <br /> � <br /> APPLICANT MECHANICAL 35.00 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 1.00 <br /> 100 ELDORADO DRIVE <br /> JORDAN,MN 55352 • '�� <br /> (952)495-2927 TOTAL -�-5$' <br /> �v.00 <br /> OWNER <br /> HANSSEN,PAUL&LEANN ' <br /> 2118 SHADYWOOD 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. 'fhis 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 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 conswction 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ,.�� a�� ���l. � i 17 i D� i i <br /> �pplicant Permitee Signature Date Issued By Si re Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />