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� CITY OF ORONO * 2 0 1 2 — 0 0 3 9 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/10/2012 <br /> . ORONO,MN 55356— <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3508 IVY PL <br /> PIN : 20-117-23-42-0036 <br /> LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 7,600.00 <br /> NOTE: 2 HEAT N GLO ESCAPE 36DV <br /> APPLICANT MECHANICAL 95.00 <br /> FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 3.80 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 <br /> (651)633-2561 MISC FEE 0.00 <br /> Minnesota State License#:20512060 TOTAL 100.80 <br /> OWNER <br /> RICHTER,ROBERT AND TINA <br /> 3508 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 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 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 consVuction 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 /> �i�i�c..a-�-� �K, l l l l <br /> Applicant Permitee Signature Date Issued By Sign e D te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED VE. <br />