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'' CITY OF ORONO PERMIT NO.: 2011-01456 <br /> � 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 1U2U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2730 SILVER VIEW DR <br /> PIN : 33-118-23-42-0007 <br /> LEGAL DESC : MEYER DAIRY ADDN <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,800.00 <br /> NOTE: HEAT N GLO ESCAPE I35 GAS FP <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.90 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 <br /> (651)633-2561 MISC FEE 0.00 <br /> Minnesota State License#:20512060 TOTAL 53.90 <br /> OWNER <br /> MONSON,DALE&CAROL <br /> 2730 SILVER VIEW DR <br /> LONG LAKE,MN 55356- <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,applicable 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. All provisions of laws and ordinances goveming 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 responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time foF due�ause. <br /> ���- i / / / <br /> Applicant Permitee Signature Date Issued y ' ature te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB E. <br />