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CITY OF ORONO PERMIT NO.: 2011-01286 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/20/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 2985 WATERTOWN RD <br /> PIN 04-117-23-21-0001 <br /> LEGAL DESC AUDITOR'S SUBD.NO.230 <br /> LOT 006 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIREPLACE-GAS <br /> VALUATION $ 4,765.00 <br /> NOTE: 1 GAS FP <br /> APPLICANT MECHANICAL 59.56 <br /> FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 2.38 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 <br /> (651)633-2561 MISC FEE 0.00 <br /> Minnesota State License#:20512060 TOTAL 63.94 <br /> OWNER <br /> GHERARDI,RICHARD&LORI <br /> 1010 WILLOW VIEW LANE <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 conformance with the State Building Code.This permit may be <br /> revoked at any <br /> �time <br /> �for <br /> duce crause. <br /> Applicant Permitee Signature Date Issued—By ftnature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A OV <br />