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� <br /> CITY OF ORONO PERMIT IVO.: 2010-01140 <br /> 2750 KELLEY PARKWAY <br /> �. ORONO, MN 55356- DATE ISSUE�: 11/19/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3403 EASTLAKE ST <br /> PIN : OS-117-23-14-0060 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 001 BLOCK 008 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,500.00 <br /> NOTG: HLAT&GLO t'IREPLACG <br /> � <br /> APPLICANT MECHANICAL 50.00 <br /> J& S MECHANICAL, INC. STATE SURCHARGE MECH (VALUATION) 5.00 <br /> P.O. BOX 128 TOTAL 55.00 <br /> WATERTOWN, MN 55388 <br /> (952)955-2627 <br /> OWNER <br /> WHITMORE, KAYLEN <br /> 3403 EASTLAKE ST <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�vork for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State E3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of la���s and ordii�ances governing this type of work <br /> shall be compied with���hether 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 lor a period of 180 days at any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be i <br /> revo� a any time for du ause. � �� � <br /> C�_ <br /> • _.,-�.�---� • � / /%�'/� �'�,�..L.,� (�;�'y�l C C �l � �l"- � <br /> plicant P nitee Signature Date Issued By Signature Date <br /> , <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />