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, <br /> ,. CITY OF ORONO * Z p� 1 3 - 0 0 2 9 7 * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: 04/29/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4156 HIGHWOOD RD <br /> PIN : 07-117-23-44-0019 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 023 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,500.00 <br /> NOTE: HEAT N GLO SLR-C GAS FP <br /> APPLICANT MECHANICAL 50.00 <br /> CONDOR FIREPLACE& STONE CO. STATE SURCHARGE MECH(VALUATION) 0.75 <br /> 8282 ARTHUR ST NE <br /> SPRING LAKE PARK,MN 55432 MAIL-IN FEE 2.00 <br /> (763)786-2341 TOTAL 52.75 <br /> OWNER <br /> MUSGJERD, SCOTT&MELISSA <br /> 4156 HIGHWOOD RD <br /> MOLJND,MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The 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 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 aze <br /> requested in conformance with t�ie State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> _� / / / i <br /> Applicant Permitee Signature � Date Issue ' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE T N DESCRIBED ABOV . <br />