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s- <br /> CITY OF ORONO PERMIT NO.: 2009-00403 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- �ATE ISSUEn: 07/14/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 950 DAKOTA AVE <br /> PIN : 26-118-23-33-0025 <br /> LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,000.00 <br /> NOTE: <br /> GAS FIREPLACE-BRAND: VALOR-MODEL NO.739 ILN <br /> APPLICANT MECHANICAL 50.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUAT[ON) 1.00 <br /> 4342 B SHADY OAK RD <br /> HOPKINS, MN 55343 TOTAL 51.00 <br /> (952)933-1868 <br /> OWNER �, <br /> OLEN,G <br /> 950 DAKOTA AVE <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> I'he 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 I3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separa[e <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whe[her 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 applicant is responsible for assuring all required inspections are <br /> reques ed in conformance with the State Building Code.This permit may be <br /> revoke at any time�for dug cause. . <br /> � Lv� � �,,L �/ <<-i / �� <br /> � / / <br /> Applicant Permitee gnature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />