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' CITY OF ORONO * 2 0 1 Z - 0 0 9 3 1 * <br /> ` 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2012 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2683 NORTH SHORE DR <br /> PIN : 09-117-23-42-0005 <br /> LE�AL DESC : REG. LAND SURVEY NO. 1373 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-WOOD <br /> VALUATION : $ 8,100.00 <br /> NOTE: HEARTHSTONE 817a4115 <br /> APPLICANT MECHANICAL 101.25 <br /> WOODLAND STOVES&FIREPLACES STATE SURCHARGE MECH(VALUATION) 4.05 <br /> 2901 E.FRANKLIN AVE. MAIL-IN FEE 2.03 <br /> MINNEAPOLIS,MN 55403- <br /> (612)338-6606 TOTAL 10733 <br /> OWNER <br /> SULLIVAN,TIMOTHY&AMY <br /> 2683 NORTH SHORE DR <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 pertnission 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 at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the Sta[e Building Code.This permit may be � <br /> revoked at any time for due cause. <br /> �%'�'1 yc"i`' �' / / C��%`/�� o'„- <br /> f�W/C l l <br /> Applicant Permitee Signature Date Issued By ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />