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I l' 111111 11 11'1111 <br /> CITY OF ORONO <br /> * 20 1 3 - 00057 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/23/2013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2359 OLIVE AVE <br /> PIN : 17-117-23-44-0076 <br /> LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA <br /> : LOT 018 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,150.00 <br /> NOTE: LENNOX GAS FACTORY FIREPLACE-MODEL#H7516-MLDVT-40 <br /> APPLICANT MECHANICAL 50.00 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 0.57 <br /> 100 ELDORADO DRIVE <br /> JORDAN,MN 55352 MAIL-IN FEE 7.01 <br /> (952)495-2927 TOTAL 57.58 <br /> OWNER <br /> Bamboo Properties LLC <br /> 1171 NORTHLAND DR <br /> #100 <br /> MENDOTA HEIGHTS,MN 55120- <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. DA <br /> 4,6140 <br /> Applicant Permitee Signature Date Issue. By�'gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A •VE. <br />