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� CITY OF ORONO * Z 0 1 5 - 0 0 9 7 0 * <br /> � <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/30/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2490 CARMAN ST <br /> PIN : 20-117-23-12-0065 <br /> LEGAL DESC : LEHMAN LAGOON <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 10,544.06 <br /> NOTE: 2 GAS FIREPLACE HEAT N GLOW,TRUE 42&TRUE 36 <br /> APPLICANT � MECHANICAL 131.80 <br /> STATE SURCHARGE MECH(VALUATION) 5.27 <br /> GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 <br /> 100 ELDORADO DRIVE TOTAL 139.07 <br /> JORDAN, MN 55352 <br /> (952)495-2927 Payment(s) <br /> CHECK 21355 139.07 <br /> OWNER <br /> Lakeshore Holdings LLC <br /> 153 E LAKE ST ' <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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 /> , <br /> � .. <br /> � , _ ___� <br /> - . _}_..� . <br /> ' �� \��--�_ �.. '`---- 1 `'�_�;.C_v ��/ � 1`>�C' ��`{-� / "��J�`. � ��..� <br /> Applicant Permitee Signature Date Issued By ignature Date <br />