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CITY OF ORONO PERMIT NO.: 2011-00067 <br /> , 2750 KELLTY PARKWAY <br /> ORONO, MN �53�6- �A7'E tssuED: 02/02/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1985 FAGERNESS POINT RD <br /> PIN : 18-117-23-14-0004 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 003 E3LOCK 000 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,700.00 <br /> NOTE: HL'•A"C N GLO 6000 C IPI <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH & HOME STATE SURCHARGE MECH (VALUATION) 5.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 5�1 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 /> BRIGGS, MATTHEW& ALISSA <br /> 1985 FAGERNESS PT RD <br /> WAYZATA, MN 5�391- <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he�cork ibr which thi,permit is issucd shall be perlormcd according to <br /> thc approved plans and specifications,applicabic City approvals,and the <br /> State 13uildind Code. 'I'his permit is���r only the work described and does <br /> not grant permission for additional or related work w�hich requires separatc <br /> permits. All provisions ot�la���s and ordinanccs govcrning this typc of ti�ork <br /> � shall be compied with���hether or not speciticd hereii�."I'his permit will <br /> expire and become null and��oid if construction authorized is not <br /> commenced�cithin 180 days of the date of issuance,or if construction is <br /> suspended liir a period of 180 days at any time attcr�cork has commenced. <br /> "I'he applicant is responsible for assurin�all required inspections are <br /> roqucstcd in conformancc���ith thc Statc 13uildin�_Codc.This permit may be <br /> revoked at any time for�ue causc. <br /> �''f'1/l-G�'� �i'`- / / / / <br /> Applicant Permitec Signaturc Date Issued �S�e ature at� <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABO . <br />