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; -- CITY OF ORONO PERMIT NO.: 2011-00141 <br /> ' 2750 KELLEY PARKWAY <br /> r ORONO, MN 55356- DATE ISSUED: 03/OU2011 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ;ADDRESS : 460 EAST LONG LAKE RD <br /> PIN : 35-118-23-14-0010 <br /> LEGAL DESC : UNPLATTED 35 118 23 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 11,000.00 <br /> NOTE: (3)GAS FACTORY FIREPLACES-QUADRA-FIRE/HEAT-N-GLO-MODEL NO: QFP44,EVEREST,MONTA <br /> APPLICANT MECHANICAL 137.50 <br /> COUNTRYSIDE HEATING&COOLING <br /> 6511 HWY 12 STATE SURCHARGE MECH(VALUATION) 5.50 <br /> MAPLE PLAIN,MN 55359 TOTAL 143.00 <br /> (763)479-1600 <br /> OWNER <br /> JOHNSON,DAVE&ELIZABETH <br /> 17395 CONIFER COURT <br /> CHASKA,MN 55318- <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 constmction 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 /> �evoked at any time for due ca se. <br /> / / � �/ l / / � <br /> .Applic ' ature Date Iss y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br /> 1 <br />