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. . CITY OF ORO O PERMIT NO.: 2012-00060 <br /> 2750 KELLEY PAR WAY <br /> ORONO, MN 553 6- DATE ISSUED: OU30/2012 <br /> 952 249-4600 FAX: 95 249-4616 <br /> ADDRESS : 4465 BAYSIDE RD <br /> PIN : 06-117-23-21-0006 <br /> LEGAL DESC : JOHNSON WHEELER 1 ST ADDN i <br /> : LOT 001 BLOCK 001 �� <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-WOOD <br /> VALUATION : $ 1,700.00 <br /> NOTE: WOOD BURNING FIREPLACE-BRAND NAME-WBFP-MODEL-641 000 <br /> APPLICANT MECHAN[ AL 50.00 <br /> CARLSON, ROBERT <br /> 4465 BAYSIDE RD STATE SU CHARGE MECH (VALUATION) 0.85 <br /> MAPLE PLAIN, MN 55359- TOTAL 50.85 <br /> OWNER <br /> CARLSON, ROBERT <br /> 4465 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMEIYT AND SWORN STATEMENT <br /> I'hc work tor which this permrt is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State�uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or tela[ed 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 nuU id if constraetion authorized is not <br /> commenced within 180 days , the date of issuance,or if construction is <br /> suspended f'o�a period of 180 days at any time after work has commenced. <br /> The ap.�licant is responsibie for assuring all required inspections are <br /> requested in conformance,with the�ate Building Code.This permit may be <br /> re�oked at any time for due�cause:� <br /> �, �r : ;-" .:- l 3 � l�1 � / ��� l a- <br /> A�plic n�Pe' gn re Date <br /> �'� �� Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. <br />