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` CITY OF ORONO * 2 0 1 4 - 0 0 4 4 4 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 05/13/2014 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 1065 LINDEN LA <br /> PIN : 07-117-23-14-0066 <br /> LEGAL DESC : LINDEN BEACH <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 13,400.00 <br /> NOTE: 4 GAS FIREPLACES HEAT N GLO <br /> 1 WOOD FIREPLACE HEAT N GLO <br /> GAS LINES BY OTHERS <br /> APPLICANT MECHANICAL 167.50 <br /> STATE SURCHARGE MECH(VALUATION) 6.70 <br /> GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 <br /> 100 ELDORADO DRIVE <br /> JORDAN,MN 55352 TOTAL 176.20 <br /> (952)495-2927 Payment(s) <br /> CHECK 18915 176.20 <br /> OWNER <br /> KUZNIK,TONY&CARRIE <br /> 10690 ZIEGLERS DRIVE <br /> BROOKLYN PARK,MN 55443- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 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 aRer 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 /> �.Gvt� l l <br /> Applicant Permitee Signature Date Issued By S ature Date <br />