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CITY OF ORONO PERMIT NO.: 2oia000i2 <br /> � • " 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUEn: OU07/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2675 SILVER VIEW DR <br /> PIN : 33-118-23-42-0012 <br /> LEGAL DESC : MEYER DAIRY ADDN <br /> : LOT 001 BLOCK 003 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATIOI�T : $ 4,500.00 <br /> NOTE: 1 HEAT N GLO GAS AP <br /> APPLICANT MECHANICAL 56.25 <br /> FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 2.25 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 <br /> (651)63�2561 TOTAL 60.50 <br /> Minnesota State License#:20512060 <br /> OWNER <br /> VAN OVERBEKE,PETER&AMANDA <br /> 2675 SILVER VIEW DR <br /> LONG LAKE,MN 55356 <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 dces <br /> not grant permission for additional or related work which requires sepazate <br /> permiu. All provisions of laws and ordinances goveming this rype 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. <br /> ll��f=� �i� � � l l <br /> Applicant Permitee Signature Date Issued By S' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />