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� �y <br /> CITY OF ORONO PERMIT NO.: 2oiaoo9�i <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/1 U2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2050 SHORELINE DR <br /> PIN : 10-117-23-34-0014 <br /> LEGAL DESC : HARTWOOD <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-WOOD <br /> VALUATION : $ 5,200.00 <br /> NOTE: FACTORY WOOD FIREPLACE <br /> APPLICANT MECHANICAL \ 64.60 <br /> WOODLAND STOVES&FIREPLACES STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 2901 E. FRANKLIN AVE. TOTAL 69.60 <br /> MINNEAPOLIS,MN 5540� <br /> (612)33&6606 <br /> OWNER <br /> KVAMME TRUST(TOM BROSTROM),BERTA <br /> 2050 SHORELINE 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 aRer 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 ca se. <br /> (,cl�e /CI //l /d /D l // l /D <br /> Applic t Permitee Signature Date Is By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />