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CITY OF ORONO * 2 0 1 3 - 0 0 8 6 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/26/2013 <br /> ' ORONO, MN 55356- <br /> ' (952) 249-4600 FAX: (952) 249-4616 <br /> _._.._ <br /> E ' ��� ti'1_�� f�ti`�._ <br /> ADDRESS : 15-]-9 P�flR'CH ARM DR ���„�, �,`1 `:��, <br /> PIN : 08-117-23-33-0078 <br /> LEGAL DESC : HICKORY HILL <br /> : LOT 020 BLOCK 000 <br /> PERMIT TYPE : MECHAMCAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE- GAS <br /> VALUATION : $ 1,160.00 <br /> NO"I�E: LGNNOX GAS FIREPLACE H7516/MCDVT-60 <br /> APPLICANT MECHANICAL 50.00 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH(WALUATION) 0.58 <br /> 100 ELDORADO DRIVE <br /> JORDAN, MN 55352 MAIL-IN FEE 2.00 <br /> (952)495-2927 TOTAL 52.58 <br /> OWNER <br /> Real Assets LLC <br /> 550 25TH AVENUE N <br /> ST CLOUD, MN 56303- <br /> AGREEMENT AND SWORN STATEMENT <br /> I he work Yor which this permit is issued shall be performed according to <br /> die 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 granl permission for additional or related work which requires separate <br /> pemiits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified hereia This permit will <br /> expire and become null a�id 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. l�his permit may be <br /> revoked at any time for due cause. <br /> I'V l�^�' � � � l l <br /> npplicant Permitee Signature Date Issued B ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB UE. <br />