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,, CITY OF ORONO PERMIT NO.: 2009-00828 <br /> „ � 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUEn: lUi7/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2108 SUGARWOOD DR <br /> PIN : 34-118-23-21-0024 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 005 BLOCK 004 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 5,502.00 <br /> NOTE: INSTALL OUTDOOR FIREPLACE AND VENTING -MONTIGO LS38FSDN <br /> HOOK TO GAS LINE RUN BY OTHERS <br /> APPLICANT MECHANICAL 68.78 <br /> WOODLAND STOVES&FIREPLACES STATE SURCHARGE MECH(VALUATION) 2J5 <br /> 2901 E.FRANKLIN AVE. <br /> MINNEAPOLIS,MN 55403� MAIL-IN FEE 2.00 <br /> (612)338-6606 MISC FEE 0.00 <br /> TOTAL 73.53 <br /> OWNER <br /> RICKS,MICHEAL&JACQELINE <br /> 2108 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 dces <br /> not grant permission for additional or related work which requires sepazate <br /> permiu. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not speci£ed 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 for due cause. <br /> `'7�� �' i i ��'tic.Gt�l� i i <br /> Applicant Permitee Signature Date Issued By Sig ure ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />