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• CITY OF ORONO * z 0 1 6 - 0 PJ 2 6 5 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 03/2U2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2941 CASCO PO[NT RD <br /> PIN : 20-117-23-31-0047 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 092 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,000.00 <br /> NOTE: ADDING: l GAS FIREPLACE(HEAT&GLO) <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.50 <br /> GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 <br /> 100 ELDORADO DRIVE <br /> JORDAN, MN 55352 TOTAL 53.50 <br /> (952)495-2927 Payment(s) <br /> CHECK 22699 53.50 <br /> OWNER <br /> ABBOTT&MICHELE WILLIAMS-ABBOTT,JOHN <br /> 2941 CASCO POINT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,appiicable 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. AII provisions of laws and ordinances goveming this rype of work <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 /> commenced within 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 /> revoked at any time for due cause. �� <br /> �` �, I �� o � � 3 � zi , � <br /> � ���. c� � ��S � <br /> Applicant Permitee Signature Date Issued By Signature� Date <br />