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� ' CITY OF ORONO * z 0 1 3 - 0 0 0 4 5 * <br /> 2750 KELLEY YARKWAY DATE ISSUEU: OU18/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3350 FOX ST <br /> PIN : OS-117-23-44-0008 <br /> LEGAL DESC : FULLERTON ESTATES <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PRONERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOI�I TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1>500.00 <br /> NOTG: GAS FAC"I�ORY �IREPLAC E-PLTERSON-G45-30-1 1 <br /> CONTRACTOR IS NOT RUNNING THE GASLING-JUST SETTING THE LOG. ^/W� s%�-`� �'�`'��"�-' <br /> APPLICANT MECHANICAL 50.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUATION) 0.75 <br /> 4342 B SHADY OAK RD <br /> HOPKINS, MN 55343 '1'OTAL 50.75 <br /> (952)933-1868 <br /> OWNER <br /> BIGOS,NANCY <br /> 3350 FOX ST <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for�chich this permit is issued shall be per�i>rmed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. 'I�his pemiit is for only the work described and does <br /> not grant permission lor additional or related work���hich requires separate <br /> permits. All provisions of laws and ordinances govcming this typc of�vork <br /> shall be compied with whether or not specitied 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 /> 'I�he applicant is responsible for assuring all required inspeclions are <br /> rcquested in conformance with the State E3uilding Code.This permit may be <br /> revoked at an�tim for uc cause. <br /> ��� ��� c�� _ � � �� � � 3 / � /�� �3 <br /> Applicant Pcrmitee Signature Dale Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />