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�, <br /> � CITY OF ORONO PERMIT NO.: 2009-000�4 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 02/23/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2550 SIXTH AVE N <br /> PIN : 28-118-23-41-0005 <br /> LEGAL DESC : WILLOW RUN <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,523.00 <br /> NOTE: 1 HEAT&GLO 6000GIPI GAS FP <br /> PRINTED WITHOUT ISSUING BECAUSE THE CHECK HE HAD WAS WRITTEN FOR OLD FEES. HE WILL HAVE A CHECK SENT ON <br /> THURS 2/19 AND AT THAT TIME WE CAN ISSUE THE PERMIT AND SEND IT WITH WILLIE FOR THE INSPECTION EARLY NEXT <br /> WEEK. BARB <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 0.76 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 TOTAL 50.76 <br /> (651)633-2561 <br /> Minnesota State License#:20512060 <br /> OWNER <br /> RICE,EDWARD&TERESA <br /> 2550 SIXTH AVE N <br /> LONG LAKE,MN 55356 <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 dces <br /> not grant permission for additional or related work which requires sepazate <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due caese. <br /> `l'_/_I�,A.t.� �iW l l l l <br /> Applicant Permitee Signature Date Issued By 'gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br />