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,� _ CITY OF ORONO PERMIT NO.: 2oos-oo2os <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/10/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2118 SHADYWOOD RD <br /> PIN : 17-117-23-42-0016 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,500.00 <br /> NOTE: 2 HEAT N GLO GAS FIREPLACES 6000GCF-IPI <br /> APPLICANT MECHANICAL 35.00 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 1.25 <br /> 100 ELDORADO DRIVE <br /> JORDAN,MN 55352 MAIL-IN FEE 1.50 <br /> (952)49�2927 TOTAL 37.75 <br /> OWNER <br /> HANSSEN,PAUL&LEANN <br /> 2118 SHADYWOOD RD <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. 1'his 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 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 caus�. <br /> �-�k.a.�-r �.x, i i i i <br /> Applicant Permitee Signature Date Issued By Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE OVE. <br />