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� <br /> , <br /> CITY OF ORONO * 2 0 1 3 - 0 0 1 3 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/28/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1860 FOX ST <br /> PIN : 03-117-23-42-0016 <br /> LEGAL DESC : WALDRON WOODS <br /> : LOT 2 BLOCK l <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,800.00 <br /> NOTL: (2)GAS FAC�CORY FIREPLACES-HEAT-N-GLO-6000CL-IPI-T AND 8000CLX-IPI-"C <br /> APPLICANT <br /> MECHANICAL 50.00 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH (VALUATION) 1.90 <br /> 100 ELDORADO DRIVE <br /> JORDAN, MN 55352 MAIL-IN FEE 2.00 <br /> (952)495-2927 TOTAL 53.90 <br /> OWNER <br /> OLSON, MICHAEL& JENNIFER <br /> 3924 UPTON AVE S <br /> MINNEAPOUS, MN 55410- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifica[ions,applicable City approvals,and the <br /> State Building Code. This permi[is for only[he work described and does <br /> not grant permission fbr additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced wi[hin 1 SO days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer 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 <br /> revoked at any time for du cause. <br /> 1��� �-��l� C� i a �i� <br /> Applicant Permitee �gnature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />