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, CITY OF ORONO PERMIT NO.: 2009-oo23s <br /> ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISS[1ED: OS/26/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2623 CASCO POINT RD <br /> PIN : 20-117-23-24-0032 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 141 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,200.00 <br /> NOTE: 1 HEAT N GLO GAS FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> CONDOR FIREPLACE& STONE CO. STATE SURCHARGE MECH (VALUATION) 0.60 <br /> 8282 ARTHUR ST NE <br /> SPRING LAKE PARK, MN 55432 MAIL-IN FEE 2.00 <br /> (763)786-2341 TOTAL 52.60 <br /> PAID WITH CC# 0816 <br /> OWNER <br /> KUBALAK, THOMAS& PATRICIA <br /> 2623 CASCO POINT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which this permit is issucd shall be performed according to <br /> the approved plans and specitications,applicable Ciry approvals,and the <br /> State Building Code. This permit is for only the work dcscribed and does <br /> not gran[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 5tate Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �.y��l�c'c`'! �— / / LfiYi'L��� l l <br /> Applicant Permitee Signature Date Issued By Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />