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' � CITY OF ORONO PERMIT NO.: 2oos-oo23s <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE�SSUED: 09/18/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1560 NORTH ARM DR <br /> PIN : 08-117-23-33-0073 <br /> LEGAL DESC : HICKORY HILL <br /> : LOT 014 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,500.00 <br /> NOTE: <br /> INSTALL GAS FIREPLACE-HEAT N GLO-MODEL#SL350 TRS-14,400-20,500 B.T.U.'S <br /> APPLICANT MECHANICAL 35.00 <br /> FIREPLACE CREATIONS STATE SURCHARGE MECH(VALUATION) 1.25 <br /> 6511 HIGHWAY 12 <br /> MAPLE PLAIN,MN 55359- TOTAL 36.25 <br /> ('763)479-3011 <br /> OWNER <br /> LAWLESS,PATRICIA <br /> 1560 NORTH ARM DR <br /> MOLJND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he 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 permit is for only the work described and dces <br /> not grant permission for additional or related work which requires sepazate <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 af any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This pertnit may be <br /> revo at any time for due cause. <br /> � ���' � � �/ �D <br /> A plicant Permitee Signature Date I e By S� ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />