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. • CITY OF ORONO PERMIT NO.: 2010-00222 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �ssUED: 04/14/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1785 CONCORDIA ST <br /> PIN : 17-117-23-22-0016 <br /> LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 6,000.00 <br /> NOTE: (2)GAS FACTORY FIREPLACES-BRAND NAME: 2 FPX, 1 MARQU[S MODEL-98�00212&SOLACE <br /> APPLICANT MECHANICAL 75.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUATION) 3.00 <br /> 4342 B SHADY OAK RD <br /> HOPKINS, MN 55343 TOTAL 78.00 <br /> (952)933-1868 <br /> OWNER <br /> DULIN, KEVIN& BARBARA <br /> l 785 CONCORDIA ST <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 permit is for only the work described and does <br /> not grant permission for additional or related work which requires scparate <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 aftcr work has commenced. <br /> "fhe applicant is responsible for assuring all required inspections are <br /> reque�ted in confor ance with the State Building Code.This permit may be <br /> revok'd at any time�� r d�k cau e. �` � <br /> � � �i <br /> ' n `t� � � � � �l-� /� �U <br /> Ap ' ermitee gnature Date [ss d By Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />