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CITY OF ORONO PERMIT NO.: 2009-00141 <br /> , R 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 04/07/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1285 FRENCH CREEK DR <br /> PIN : 10-117-23-32-0007 <br /> LEGAL DESC : FRENCH CREEK <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,500.00 <br /> NOTF;: 2 HF,A"I'N GLO GAS FP FB-IN-S <br /> APPLICANT MECHAN[CAL 50.00 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH (VALUATION) 1J5 <br /> 100 ELDORADO DRIVE <br /> JORDAN, MN 55352 MAIL-IN FEE 2.00 <br /> (952)495-2927 TOTAL 53.75 <br /> OWNER <br /> GEORGE, DEVEAN <br /> 1285 FRENCH CREEK DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> ]'he work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building 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 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 authori�ed is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days a[any time after work has conunenced. <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 duc cause. <br /> ���Yl-Cu`�P �� l l l l <br /> Applicant Permitee Signature Date Issued By � nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED BOVE. <br />