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. <br /> CITY OF ORONO PERM�T No.: 2oli-000�i <br /> • 2750 KELLEY PARKWAY <br /> ORONO, MN ��356- �ATE �ssuEn: 02/03/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2425 DUNWOODY AVE <br /> PIN : 20-117-23-22-0009 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 003 BLOCK 008 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : FIREPLACE- GAS <br /> VALUATION : $ 2,400.00 <br /> NO"I'li: 2 1 II?n"I'N GLO GAS PP <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH & HOME S"TATE SURCHARGE MECH (VALUATION) 5.00 <br /> 2700 FA[RVIEW AVE <br /> ROSEVILLE, MN »I 13 MAIL-IN FEE 2.00 <br /> (651)633-2561 MISC FEE 0.00 <br /> Minnesota State License #: 20512060 TOTAL 57.00 <br /> OWNER <br /> 'eGL►�- w �—� <br /> 2425 DUNWOODY AVE <br /> WAYZATA, MN 55391 <br /> ACREEMENT AND SWORN STATEMENT <br /> The�cork�br e��hich this permit is issued shall be perlormed according to <br /> the approved plans and speci�ications,applicable Cit��approvals,and the <br /> State L3uilding Code. �I'his permit is for only the work describcd and does <br /> not grant permission lor additional or related�vork«�hich rcquires separatc <br /> permits. All provisions of laws and ordinances eovernina this t��pe of���ork <br /> shall be compicd wiUi whether or not specified herein.This permit�a�ill <br /> czpirc and bccomc null and void if construction authorized is not <br /> commenced wilhin I 80 days of the date of issuance.or if construction is <br /> suspcndcd for a period of 180 da}�s at am�time aftcr���ork has commcnccd. <br /> I�he applicant is responsible fi�r assuring all required inspections are <br /> requested in conl��rmancc with the State l3uildins Code.This permit may be <br /> rcvokcd at any timc for duc causc. <br /> `,�tit�"% �—r` / / CiiY/'1-�-� l l <br /> Applicant Permitec Signaturc Date Issucd [3��.' naturc Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />