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• CITY OF ORONO * 2 0 1 7 - PJ 0 0 PJ 5 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: O1/OS/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2649 CASCO PO[NT RD <br /> PIN : 20-117-23-24-0029 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 138 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BG ON SITE A'I'FINAL[NSPECTION. <br /> NEW GAS FIREPLACE(KOZY HEAT) <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.00 <br /> GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 <br /> 100 ELDORADO DR[VE <br /> JORDAN, MN 55352 TOTAL 53.00 <br /> (952)495-2927 Payment(s) <br /> CREDIT CARD 6025 53.00 <br /> OWNER <br /> KINDL, DUST[N&CAS[E <br /> 2649 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMEIYT AND SWORN STATEMEIYT <br /> "I�he work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry 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�vill <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 /> 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 due cause. <br /> \ .. <br /> I � �� j� L`C���_ �V ��—�_i -t�'L � �C�> � � `� <br /> �.�c�< < <,�` r <br /> Applicant Permitee Signature Date [ssued By Signature Date <br />