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CITY OF ORONO * 2 0 1 4 - PJ 1 3 7 8 * <br /> t 2750 KELLEY PARKWAY DATE ISSUED: 1U26/2014 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3309 CRYSTAL BAY RD <br /> PIN : 17-117-23-41-0016 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE- GAS <br /> VALUATION : $ 1,500.00 <br /> NO�I'F,: III;n�I'N GLO F�IRI-:PI,nCE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH (VALUATION) 0.75 <br /> CONDOR FIREPLACE& STONE CO. MAIL-[N FEE 2.00 <br /> 8282 ARTHUR ST NE <br /> SPRING LAKE PARK, MN 55432 TOTAL 52.75 <br /> (763)786-2341 Payment(s) <br /> CHECK 82�21 52.75 <br /> OWNER <br /> SCHMID, DAVID <br /> 3309 CRYSTAL BAY RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he work tor which this pennit is issued shall be performed according to <br /> the approved plans and speeiYications,applicable City approvals,and the <br /> State E3uilding Code. 'I�his permit is for only the work dcscribed and docs <br /> not grant permission lor additional or related work which requires separate <br /> pennits. nll provisions of laws and ordinances governing this[ype of work <br /> shall b�compicd with whether or not specified herein.This permit���ill <br /> expire and become n�dl and void if construetion authorized is not <br /> commenced within 180 days oY the date of issuanec,or if construction is <br /> suspended tor a period of 180 days at any time after work has commenced. <br /> The applicant is responsible Yor assuring all required inspections are <br /> requcsted in conformance with the State E3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> �� <br /> ��� C�l.�.��� ��'.._ ��� � � ; '1��1C� ��� �� -� ,��' , ` �� <br /> Applicant Permitee Signature Date Issucd f3y Si�nature Date <br />