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CITY OF ORONO PERMIT NO.: 2011-01561 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 12/16/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 450 WILLOW DR S <br /> PIN : 03-117-23-32-0012 <br /> LEGAL DESC : UNPLATTED 03 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 4,000.00 <br /> APPLICANT MECHANICAL 50.00 <br /> BOWMAN,WILLIAM STATE SURCHARGE MECH(VALUATION) 2.00 <br /> 450 WILLOW DR S <br /> LONG LAKE,MN 55356- TOTAL 52.00 <br /> PAID WITH CC# 0843 <br /> OWNER <br /> BOWMAN,WILLIAM <br /> 450 WILLOW DR S <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 d the date of issuance,or if construction is <br /> suspend or a period f 180 ays at any time after work has commenced. <br /> applic tis respo sib or assuring all required inspections are <br /> re uest in conform c with the State Building Code.This permit may be <br /> rot y ' fo d e bVie. <br /> A plicant Permitee Signature Dae I Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />