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CITY OF ORONO PERMIT NO.: 2011-01518 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 12/06/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 4685 NORTH SHORE DR <br /> PIN 07-117-23-32-0056 <br /> LEGAL DESC TONKAVIEW GARDENS <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,400.00 <br /> NOTE: KOZY HEAT <br /> 911XL-RAD <br /> APPLICANT MECHANICAL 50.00 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 1.70 <br /> 100 ELDORADO DRIVE <br /> JORDAN,MN 55352 MAIL-IN FEE 2.00 <br /> (952)495-2927 TOTAL 53.70 <br /> OWNER <br /> CHRISTENSEN,SARAH&RON <br /> 4685 NORTH SHORE DR <br /> MOUND,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 separate <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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issued By Fi#ature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />