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� CITY OF ORONO PERMIT NO.: 2oio-oos6� <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 07/12/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 745 BRTDGEWATER DR <br /> PIN : 33-118-23-11-0108 <br /> LEGAL DESC : STONEBAY FOURTH ADDITION <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,500.00 <br /> NOTE: <br /> GAS FACTORY FIREPLACG-HEAT-N-GLO-MODEL-60000 GJPI <br /> APPLICANT <br /> MECHANICAL 50.00 <br /> FIRESIDE HEARTH& HOME STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 55113 TOTAL 55.00 <br /> (651)633-2561 <br /> Minnesota State License#: 20512060 <br /> OWNER <br /> O.T. Development, LLC <br /> 10300 l OTH AVE N <br /> PLYMOUTH, MN 55441- <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 atter 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 /> �""--�� —� � / �� /�v / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />