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CITY OF ORONO * z 0 1 z - 0 0 1 4 8 * <br /> ; 2750 KELLEY PARKWAY DATE ISSUED: 02/22/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3095 CASCO POINT RD <br /> PIN : 20-117-23-34-0005 <br /> LEGAL DESC : REG. LAND SURVEY NO. 131 1 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : F[REPLACE-GAS <br /> VALUATION : $ 5,000.00 <br /> NOTE: 1 GAS FP-TOWN&COUNTRY <br /> 1 WOOD BURNING FP-HEAT AND GLO <br /> GAS LINE BY OT}IERS <br /> APPLICANT MECHANICAL 62.50 <br /> GLOW[NG HEARTH AND HOME STATE SURCHARGE MECH (VALUATION) 2.50 <br /> 100 ELDORADO DRIVE <br /> JORDAN, MN 55352 MAIL-IN FEE 2.00 <br /> (952)495-2927 M[SC FEE 0.00 <br /> TOTAL 67.00 <br /> OWNER <br /> WHIPPLE, PHILLIP <br /> 3095 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he work for which this permit is issued shall be performcd accordind 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 /> shall be compied with whether or not specified hcrein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I 80 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 cause. /� <br /> ���iti'(,Q-c�. Gt� ,..,� <br /> � � � � <br /> Applicanl Permitee Signature Date Issued B ature te <br /> Y� € <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />