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• CITY OF ORONO PERMIT NO.: 2011-00137 <br /> 2750 KELLEY PARKWAY , <br /> r ORONO, MN 55356- DATE�SSUED: 02/28/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1980 SIXTH AVE N <br /> PIN : 27-118-23-42-0004 <br /> LEGAL DESC : UNPLATTED 27 ll 8 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 4,000.00 <br /> NOTE: 1 WOOD BURNING FIREPLACE HEAT N GLO BIRMINHAM 36 <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH& HOME STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 <br /> (651)633-2561 MISC FEE 0.00 <br /> Minnesota State License#:20512060 TOTAL 57.00 <br /> OWNER <br /> PIERPONT,JUDY&JIM <br /> 1980 SIXTH AVE N <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 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 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time�'or due cause. <br /> `;�y� �� � � i i <br /> Applicant Permitee Signature Date Issued By i nature D <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED AB E. <br />