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. <br /> CITY OF ORONO PERMIT NO.: 2009-00735 <br /> 2750 KELLEY PARKWAY <br /> � ORONO,MN 55356- DATE ISSUED: 10/20/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1135 NORTH ARM DR <br /> PIN : 07-117-23-14-0064 <br /> LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,426.00 <br /> NOTE: 1 KOZY HEAT MODEL 936 GAS FP <br /> APPLICANT MECHANICAL 50.00 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 1.71 <br /> 100 ELDORADO DRIVE <br /> JORDAN,MN 55352 MAIL-IN FEE 2.00 <br /> (952)495-2927 MISC FEE 0.00 <br /> TOTAL 53.71 <br /> OWNER <br /> MEERKINS,C WEILER&R <br /> 1137 NORTH ARM DR <br /> MOLJND,MN 55364 <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 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 after work has commenced. <br /> 1'he applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the 9tate Building Code.This permit may be <br /> revoked at any time for due�ause. <br /> ����C.G.t� Lr` l l l l <br /> Applicant Permitee Signature Date Issued BySi ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED A VE. <br />