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CITY OF ORONO * z 0 1 3 - 0 1 3 1 3 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 12/23/2013 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1421 NORTH ARM DR <br /> PIN : 07-117-23-44-0073 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,500.00 <br /> NOTE: HEAT N GLO GAS FP <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.25 <br /> HEATING&COOLING DESIGN INC TOTAL S1Z5 <br /> 10830 ABLE STREET <br /> BLAINE,MN 55449- Payment(s) <br /> (612)328-7172 CHECK 3814 51.25 <br /> OWNER <br /> DJY Construction <br /> 3452 PILGRIM LN N <br /> PLYMOUTH, MN 55441- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit is issued shall be performed according to <br /> the approved plans ar�d specifications,applicable Ciry 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 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 resp nsible for assuring all required inspections are <br /> requested in confo ce with the State Building Code.This permit may be <br /> revo d at any Sim f r due cause. <br /> , <br /> I� / / <br /> A plicant ermi ee Signature D te Issued By S' ature Date <br />