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CITY OF ORONO PERMIT NO.: 2010-01059 <br /> � . 2750 KELLEY PARKWAY <br /> K ORONO, MN 55356- DATE ISSUED: 10/27/2010 <br /> . 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 465 SPRING HILL RD <br /> PIN : 25-118-23-34-0002 <br /> LEGAL DESC : LJNPLATTED 25 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,000.00 <br /> NOTE: 1 HEAT N GLO ESCAPE I35 FB GAS FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 5.00 <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 57.00 <br /> OWNER <br /> ZONA TRUSTEE,RICHARD A <br /> 55 ARBOR CT <br /> TONKA BAY,MN 55331- <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 separaYe <br /> permiu. 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 nuil and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if consWction is <br /> suspended for a period of 180 days at any time after wock has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This pertnit may be <br /> revoked at any time�for du�cause. <br /> �� l�r�' / / l l <br /> Applicant Permitee Signature Date Issued By ' ature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />