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CITY OF ORONO PERMIT NO.: 2010-00189 <br /> 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- DATE ISsuEu: 04/06/2010 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2835 CASCO POINT RD <br /> PIN : 20-117-23-31-0057 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 114 BLOCK 000 <br /> PERMIT TYPE : MECHAN[CAL(> $500) <br /> PROPERTY TYPE : RES[DENT[AL <br /> CONSTRUCTION TYPE : F[REPLACE-GAS <br /> VALUATION : $ 2,800.00 <br /> NOTE: GAS FIREPLACF,-'1'RAVIS#98500234&3 ADDITIONAL GAS LINES <br /> APPLICANT <br /> MECHANICAL 50.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUATION) 1.40 <br /> 4342 B SHADY OAK RD <br /> HOPKINS, MN 55343 TOTAL 51.40 <br /> (952)933-1868 <br /> OWNER <br /> IVERSEN, ROSEMARY C • <br /> 2835 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'I�he work for which this permit is issued shali 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 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 /> req ted in conformance with the State Building Code."I'his permit may be 7 <br /> i <br /> re:o ed at any ' ause. �� <br /> r - � <br /> ` -- ;�.-- `7' , �` , /�'' ��`�_ ,., ,�� \. ,--y, Z`;i� %� � L.; . , �: <br /> Ap ' nt Permitee Sig e Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />