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CITY OF ORONO <br /> * 2014 - 00177 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/28/2014 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 3740 TOGO RD <br /> PIN : 17-117-23-31-0023 <br /> LEGAL DESC TOWNSITE OF LANGDON PARK <br /> LOT 000 BLOCK 010 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIREPLACE-GAS <br /> VALUATION $ 4,000.00 <br /> NOTE: HEAT N GLO GAS FACTORY FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH&HOME <br /> STATE SURCHARGE MECH(VALUATION) 2.00 2700 FAIRVIEW AVE MAIL-IN FEE 2.00TOTAL 54.00 <br /> ROSEVILLE,MN 55113 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#: mech-20512060 CHECK 2003554 54.00 <br /> OWNER <br /> EMERY, DARYL&KRISTI <br /> 3740 TOGO RD <br /> WAYZATA, MN 55391- <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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issu By Signature Date <br />