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CITY OF ORONO PERMIT NO.: 2010-00076 <br /> 2750 KELLEY PARKWAY <br /> r ORONO, MN 55356- DATE 1SSUEn: 02/1U2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2879 CASCO POINT RD <br /> PIN : 20-117-23-31-0054 <br /> LEGAL DESC : SPWNG PARK <br /> : LOT 101 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,800.00 <br /> NOTF: 1 HI:A'C N GLO GAS FIREPLACE <br /> APPLICANT <br /> MECHANICAL 50.00 <br /> F1RESIDE HEARTH& HOME <br /> 2700 FAIRVIEW AVE STATE SURCHARGE MECH(VALUATION) 1.40 <br /> ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 <br /> (651)633-2561 MISC FEE 0.00 <br /> Minnesota State License#: 20512060 TOTAL 53.40 <br /> OWNER <br /> ELSEN, LAWRENCE&KATHLEEN <br /> 2879 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 71�e 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 pem�it 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 Qovernin�this type of worh <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 /> eommenced within 180 days of the date of issuance,or if construcdon 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�ause. <br /> Y1� � l l <br /> / / <br /> Applicant Permitce Signature Date Issued y i na ure �� <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />