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CITY OF ORONO PERMIT NO.: 2010-00073 <br /> , ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �SSUE�: 02/16/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 290 CRESTVIEW AVE <br /> PIN : OS-117-23-14-0018 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 000 BLOCK OOl <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATiOIV : $ 2,000.00 <br /> NOTE: 1 HEnT N GLO 6000CL-IPI-T GAS FIREPLACF, <br /> APPLICANT MECHANICAL 50.00 <br /> CONDOR FIREPLACE& STONE CO. STATE SURCHARGE MECH(VALUATION) 1.00 <br /> 8282 ARTHUR ST NE <br /> SPRING LAKE PARK, MN 55432 MAIL-IN FEE 2.00 <br /> (763)786-2341 TOTAL 53.00 <br /> PAID WITH CASH 16.00 <br /> OWNER <br /> HOCHSTEDLER, SCOTT <br /> 290 CRESTVIEW AVE <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for�vhich this permit is issued shall be perfonned according to <br /> die approvcd plans and specifications,applicable City approvals,and the <br /> State 13uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which rcquires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specitied hercin.'�his 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 applicant is responsible for assuring all required inspections are <br /> reques[ed in confonnance with the State Building Code.This permit may be <br /> revoked at any time for due�ause. <br /> �1.Q.t� L►l. / / �� / / <br /> Applicant Permitee Signature Date Issued 13y gnature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />