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. � CITY OF ORONO �2 0 1 3 - PJ 1 1 4 0 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 10/25/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2003 SUGARWOOD DR <br /> PIN : 34-118-23-21-0010 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 5,326.00 <br /> NOTE: HEAT N GLO GAS FIREPLACE-SUPREME-I30C <br /> APPLICANT MECHANICAL 66.58 <br /> COUNTRYSIDE SERVICES STATE SURCHARGE MECH(VALUATION) 2.66 <br /> 6511 HWY 12 <br /> MAPLE PLAIN,MN 55359 MAIL-IN FEE 2.00 <br /> (763)479-1600 TOTAL 71.24 <br /> PAID WITH CC# 9617 <br /> OWNER <br /> BRINK,JEFFREY&VICTORIA <br /> 2003 SUGARWOOD 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 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 l80 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 /> _� � ��� ii35�/_3 ia 5 i <br /> Applicant Permitee Signature Date s d By Signature Date ' <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />