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� CITY OF ORONO * z 0 1 3 - 0 1 1 2 7 * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: 10/23/2013 <br /> - ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 360 NORTH ARM LA <br /> PIN : 06-117-23-24-0012 <br /> LEGAL DESC : NORTH ARM ESTATES 4TH ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 9,000.00 <br /> NOTE: 1 HEAT N GLO GAS FP <br /> 1 WOOD BURNING FP <br /> APPLICANT MECHANICAL 112.50 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 4.50 <br /> 100 ELDORADO DRIVE <br /> JORDAN,MN 55352 MAIL-IN FEE 2.00 <br /> (952)495-2927 TOTAL 119.00 <br /> OWNER <br /> HEDEEN,BRIAN&EMILY <br /> 360 NORTH ARM LA <br /> MOLTND,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 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 /> permiu. 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 /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with t#�e State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �i�vlG'u� '�N / / l l <br /> Applicant Permitee Signature Date Issued B ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />