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CITY OF ORONO PERMIT NO.: 2009-00711 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 10/15/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3127 CASCO CIR <br /> PIN : 20-117-23-34-0022 <br /> LEGAL DESC : COLORADO SPRINGS <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 6,000.00 <br /> NOTE: <br /> GAS FIREPLACF.S-MODEL 36CH(2)864ST&86 <br /> APPLICANT <br /> MECHANICAL 75.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 3.00 <br /> 4342 B SHADY OAK RD TOTAL 78.00 <br /> HOPKINS, MN 55343 <br /> (952)933-1868 <br /> OWNER <br /> PETERS,FREDERICK <br /> 3127 CASCO CIR <br /> WAYZATA, MN 55391- <br /> AGREEMENT A1vD 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 /> S[ate 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 compi�d with whether or not specified herein.This permi[will <br /> expire and become null and void if construction authorized is not <br /> commenced within I 80 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 /> request d in conformance with the State Building Code.This permit may be <br /> revoke at any time�r due eaus , <br /> i ' <br /> �' 1�/ /� �,,�� /�/S/ � <br /> Appli n ermrtee Si ature Date Iss e y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBED ABOVE. <br />