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CITY OF ORONO <br /> ' ' 2750 KELLEY PARKWAY * Z 0 1 5 - 0 0 2 3 4 * <br /> DATE ISSUED: 02/25/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 2879 CASCO POINT RD <br /> PIIY : 20-117-23-31-0054 <br /> LEGAL DESC : SPR[NG PARK <br /> : LOT 101 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 4,775.00 <br /> NOTT: GAS FACTORY FIREPLACE <br /> APPLICANT MECHANICAL 59.69 <br /> STATE SURCHARGE MECH(VALUATION) 2.39 <br /> FIRESIDE HEARTH& HOME MAIL-IN FEE 2.00 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 55113 TOTAL 64.08 <br /> (651)633-2561 Payment(s) <br /> Minnesota State License#: mech-20512060 CREDIT CARD 4608 64.08 <br /> OWNER <br /> ELSEN, LAWRENCE& KATHLEEN <br /> 2879 CASCO PT RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his 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 gran[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 herein.This permit will <br /> expire and become null and void if construc[ion authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <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 with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � ,� a � �/S <br /> Applicant Permitee Signature Date Iss By Signature Date <br />