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' . CITY OF ORONO PERMIT NO.: Zoiaooa8a <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 06/15/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1280 LYMAN AVE <br /> PIN : 35-118-23-34-0014 <br /> LEGAL DESC : LYMAN WOODS <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : F]REPLACE-GAS <br /> VALUATION : $ 2,300.00 <br /> NOTE: GAS FACTORY FIREPLACE - SPARK-FIRE RIBBON-SLIM 46" <br /> APPLICANT MECHANICAL 50.00 <br /> SELECT MECHAN[CAL SERVICES INC. STATE SURCHARGE MECH(VALUATION) 1.15 <br /> 6219 CAMBRIDGE ST <br /> ST. LOUIS PARK,MN 55416- MAIL-IN FEE 2.00 <br /> (952)926-4488 TOTAL 53.15 <br /> OWNER <br /> HANSON, HARLAN&MARCIA <br /> 1280 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 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 construction is <br /> suspended for a period of 180 days a[any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in c nformance with the State Building Code.This permit may be <br /> rev e t i e for e�ause. <br /> � �`" �� `�/ ��./ / �� <br /> Applicant Permi ignature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />