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CITY OF ORONO PERMIT NO.: 2011-01236 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEn: 10/12/2011 <br /> , 952 249-4600 FAX: 952 249-4616 <br /> REPRINTED ON 10/26/2011 <br /> ADDRESS : 764 BRIDGEWATER DR <br /> PIN : 33-118-23-11-0110 <br /> LEGAL DESC : STONEBAY FOURTH ADDITION <br /> : LOT O15 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 4,200.00 <br /> NOTE: (2)GAS FIREPLACES-(1)UPSTAIRS AND(l)DOWNSTAIRS <br /> HEAT-N-GLO-MODEL 6000 C IPI <br /> APPLICANT MECHANICAL 52.50 <br /> CONDOR FIREPLACE& STONE CO. STATE SURCHARGE MECH(VALUATION) 2.10 <br /> 8282 ARTHUR ST NE <br /> SPRING LAKE PARK, MN 55432 TOTAL 54.60 <br /> (763)786-2341 PAID WITH CC# 1834 <br /> Minnesota State License#: 7950 <br /> OWNER <br /> O.T. Development, LLC <br /> 10300 IOTH AVE N <br /> PLYMOUTH, MN 55441- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work 1or which this permit is issued shall be perfomted according to <br /> the approved plans and specitications,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 specitied herein.This permit will j���.`�� <br /> expire and become null and void if construction authorized is not (�, n n �.� <br /> commenced within 180 days of the date of issuance,or if construction is �XJ`" <br /> suspended for a period of l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance wi[h the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />