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� CITY OF ORONO PERMIT NO.: 2010-00692 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISsuED: 08/10/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2105 SUGARWOOD DR <br /> PIN : 34-118-23-21-0017 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 003 BLOCK 003 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,000.00 <br /> NOTE: GAS FACTORY FIREPLACE-TRAVIS <br /> APPLICANT MECHANICAL 50.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 4342 B SHADY OAK RD TOTAL 55.00 <br /> HOPKINS,MN 55343 <br /> (952)933-1868 <br /> OWNER <br /> SMITH, THOMAS&VIRGINIA <br /> 2105 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 [he <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which cequires 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 construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a penod of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> req�d in conformance with the State Building Code.This permit may be <br /> r�oke at any time for se. � � /G <br /> " � � � �� / / <br /> A plica ermitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />