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F <br /> � CITY OF ORONO PERMIT NO.: 20��-oo2s6 <br /> . 2750 KELLEY PARKWAY <br /> , ORONO,MN 55356- DATE ISSUEn: 05/03/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1190 LYMAN AVE <br /> PIN : 35-118-23-43-0034 <br /> ' LEGAL DESC : REG. LAND SURVEY NO. 1067 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,300.00 <br /> NOTE: 1 HEAT N GLO GAS FP <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH&HOME <br /> ' 2700 FAIRVIEW AVE STATE SURCHARGE MECH(VALUATION) 1.65 <br /> ' ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 <br /> (651)633-2561 MISC FEE 0.00 <br /> Minnesota State License#:20512060 TOTAL 53.65 <br /> OWNER <br /> PALMER,BRIAN&JULIA <br /> 1190 LYMAN AVE <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 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 dye.cause. <br /> + (�r(� / / / / <br /> Applicant Permitee Signature Date Issued ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />