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CITY OF ORONO Illllllnllllilillll�llllllllllllllllllllllllllllllllllllll <br /> ' 2750 KELLEY PARKWAY * z 0 1 4 - 0 1 3 0 0 * <br /> DATE iSSUED: 1U06/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2905 CASCO POINT RD <br /> PIN : 20-117-23-31-0052 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 098 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : IZESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 4,880.00 <br /> NOTE: 1 GAS HEAT-N-GLO <br /> APPLICANT MECHANICAL 61.00 <br /> STATE SURCHARGE MECH(VALUATION) 2.44 <br /> FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 TOTAL 65.44 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#:mech-20512060 CREDIT CARD 4608 65.44 <br /> OWNER <br /> BALEN,TODD <br /> 2905 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The 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 pertnit 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 whether or not specified herein.This permit wiil <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 anv time for due cause. <br /> �:� u.:� � � ( � ,�� <br /> Applicant Yermitee Signature Date Issue B} S'gnature Date � <br /> I <br />