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CITY OF ORONO * 2 0 1 z - 0 1 2 2 4 * <br /> A � 2750 KELLEY PARKWAY DATE ISSUED: 12/OS/2012 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 700 SIXTH AVE N <br /> PIN : 25-118-23-32-0003 <br /> LEGAL DESC : UNPLATTED 25 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-WOOD <br /> VALUATION : $ 5,150.00 <br /> NOTE: WOOD STOVE LOPI 99600090 <br /> APPLICANT MECHANICAL 64.38 <br /> WOODLAND STOVES&FIREPLACES STATE SURCHARGE MECH(VALUATION) 2.58 <br /> 2901 E. FRANKLIN AVE. <br /> MINNEAPOLIS,MN 55403- MAIL-IN FEE 2.00 <br /> (612)338-6606 TOTAL 68.96 <br /> OWNER <br /> BOLGAR,DANIEL <br /> 700 SIXTH AVE N <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,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 sepazate <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 for due cause. <br /> �ll�. �� / / l l <br /> Applicant Permitee Signature Date Issued y nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />