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"�" " CITY OF ORONO <br /> 2750 KELLEY PARKWAY * Z 0 1 4 - 0 0 0 3 1 * <br /> DATE ISSUED: OU10/2014 <br /> � ORONO, MN 55356- <br /> 952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 3486 IVY PL <br /> PIN : 20-117-23-42-0031 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 007 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 4,000.00 <br /> NOTE: (2)VALOR FACTORY GAS FIREPLACES- <br /> (1)MODEL#G4 780JN <br /> (1)G3.5 700 IN <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 2.00 <br /> PRACTICAL SYSTEMS MAIL-IN FEE 2.00 <br /> 4342B SHADY OAK RD <br /> HOPKINS,MN 55343 TOTAL 54.00 <br /> (952)933-1868 Payment(s) <br /> CREDIT CARD 0961 54.00 <br /> OWNER <br /> OWEN,DAVID&KAY <br /> 3486 IVY PL <br /> WAYZATA,MN 55391- <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 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 sepazate <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 the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / -/ <br /> A'-L � � � � �� � /�, <br /> Applican Permite ignature te Issued y Signature Date <br />