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, CITY OF ORONO PERMIT NO.: 2009-00628 <br /> , , <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEv: 09/29/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2447 CARMAN ST <br /> PIN : 20-117-23-12-0014 <br /> LEGAL DESC : NAVARRE <br /> : LOT 007 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 750.00 <br /> NOTE: <br /> GAS FIREPLACE <br /> COMFORT GLOW <br /> MODEL NO.CTDV36NRA <br /> NATURAL GAS <br /> DIRECT VENT <br /> APPLICANT MECHANICAL 50.00 <br /> BLUTH,JILL <br /> 2201 WEST DREAM DRNE STATE SURCHARGE MECH(VALUATION) 0.50 <br /> NORTH MANKATO, MN 56003- MAIL-IN FEE 2.00 <br /> (507)625-6986 TOTAL 52.50 <br /> PAID WITH CC# 2843 <br /> OWNER <br /> BLUTH, JILL <br /> 2201 WEST DREAM DRIVE <br /> NORTH MANKATO, MN 56003- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc 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 /> shali 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 wi[hin 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 /> revoke at any�time for due cau e. <br /> / / (J' � ,� / G �., �' <br /> C�° <br /> Applicant Permitee Signat Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />