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CITY OF ORONO * z 0 1 3 - 0 0 4 P1 9� <br /> ,�" 2750 KELLEY PARKWAY DATE ISSUED: OS/28/2013 <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: NAPOLEAN GAS FIREPLACE-MODEL LHD45N <br /> THIS PERMIT IF FOR THE SECOND FIREPLACE GOING INTO THE SAME HOUSE. <br /> APPLICANT MECHANICAL 50.00 <br /> CONDOR FIREPLACE&STONE CO. STATE SURCHARGE MECH(VALUATION) OJS <br /> 8282 ARTHUR ST NE <br /> SPRING LAKE PARK,MN 55432 TOTAL SOJS <br /> (763)786-2341 <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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> S / ai� 13 /v��/� <br /> Applicant Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />