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CITY OF ORONO PERMIT NO.: 20o9-ooss4 <br /> • 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- DATE IssuED: 12/08/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2933 CASCO POINT RD <br /> PIN : 20-117-23-31-0048 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 094 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,720.00 <br /> NOTE: 2 HEAT N GLO GAS FIREPLACF S <br /> APPLICANT MECHANICAL 50.00 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH (VALUATION) 1.86 <br /> 100 ELDORADO DRIVE <br /> JORDAN, MN 55352 MAIL-IN FEE 2.00 <br /> (952)495-2927 MISC FEE 0.00 <br /> TOTAL 53.86 <br /> OWNER <br /> FARWELL, HEATH&JULIE <br /> 2933 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,applicablc City approvals,and [he <br /> State Building Code. This permit is for only the work described and does <br /> no[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 speciYied herein.This permit will <br /> expire and become null and void if construction authorizcd is not <br /> commenced within 180 days of[he 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[he State Bui�ding Code.This permit may be <br /> revoked at any time f�r due�cause. <br /> �uti( "/�- / / l l <br /> Applicant Permitee Signature Date [ssued By ature e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />