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, � . <br /> CITY OF ORONO * 2 0 1 3 - 0 0 4 2 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/30/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4320 SIXTH AVE N <br /> PIN : 31-118-23-12-0009 <br /> LEGAL DESC : SHARON HILLS <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,500.00 <br /> NOTE: GAS FACTORY FIREPLACE-HEAT-N-GLO <br /> APPLICANT MECHANICAL 50.00 <br /> CONDOR FIREPLACE&STONE CO. STATE SURCHARGE MECH(VALUATION) 0.75 <br /> 8282 ARTHUR ST NE <br /> SPRING LAKE PARK,MN 55432 MAIL-IN FEE 2.00 <br /> (763)786-2341 TOTAL 52.75 <br /> PAID WITH CC# 6814 <br /> OWNER <br /> COLEMAN,JOHN&CAROL <br /> 4320 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 does <br /> not grant permission 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 State Building Code.This permit may be ' <br /> revoked at any time for due c se. <br /> �'GtiLG�C'�� S%3G' � l� ,� �3v� <br /> Applicant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />