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CITY OF ORONO PERMIT NO.: 2011-01244 <br /> . 2750 KELLEY PARKWAY <br /> , ORONO, MN 55356- DATE ISSUED: 10/13/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2970 CASCO POINT RD <br /> PIN : 20-117-23-31-0060 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1423 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,200.00 <br /> NOTE: HEAT N GLO ESCAPE[30 GAS FP <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH& HOME STATE SURCHARGE MECH (VALUATION) 1.60 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 <br /> (651)633-2561 TOTAL 53.60 <br /> Minnesota State License#:20512060 <br /> OWNER <br /> MARTINSON, JERRY& BONNIE <br /> 2970 CASCO PT 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 specitications,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 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 applican[is responsibie for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due"cause. <br /> `�2��iyCi l l l l <br /> Applicant Permitee Signature Date Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />