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CITY OF ORONO PERMIT NO.: 2011-01208 <br /> 2750 KELLEY PARKWAY <br /> • ORONO, MN 55356- DATE ISSUED: 10/06/2011 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3065 CASCO POINT RD <br /> PIN : 20-117-23-34-0011 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 056 BLOCK 000 <br /> PERM[T TYPE : MECHANICAL(>$500) � <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,000.00 <br /> NOTE: I HEAT N GLO ESCAPE I30 GAS FP <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH & HOME STATE SURCHARGE MECH (VALUATION) 1.50 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 <br /> (651)633-2561 TOTAL 53.50 <br /> Minnesota State License#: 20512060 <br /> OWNER <br /> RISIC,JAMIE <br /> 3065 CASCO POINT RD <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 /> Sta[e 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 whe[her or not specified hecein.This permit will <br /> expire anJ 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 f'or a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> reques[ed in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause� <br /> ��e / / <br /> / / <br /> Applicant Permi ee ignature Date Issued By Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />