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r CITY OF ORONO PERMIT NO.: 2009-00449 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 07/29/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 801 TONKAWA RD <br /> PIN : 08-117-23-21-0001 <br /> LEGAL DESC AUDITOR'S SUBD.NO.217 <br /> LOT 001 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIREPLACE-GAS <br /> VALUATION $ 1,200.00 <br /> NOTE: PETERSON GAS LOG FIREPLACE OC-BW-34 <br /> APPLICANT MECHANICAL 50.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 0.60 <br /> 4342 B SHADY OAK RD <br /> HOPKINS,MN 55343 TOTAL 50.60 <br /> (952)933-1868 <br /> OWNER <br /> KROLL,MARK <br /> 801 TONKAWA RD <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 are <br /> requested in conf ance with the State Building Code.This permit may be <br /> revo d at any ti for dire c se. <br /> 14,11 '7iZ�ii <br /> App cant Permitee RIgnafure Date Issued By Sig ure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />