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CITY OF ORONO PERMIT NO.: 2011-00208 <br /> a 2750 KELLEY PARKWAY <br /> ORONO, MN 55356— DATE ISSUED: 04/11/2011 <br /> F t 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 2845 WATERTOWN RD <br /> PIN 04-117-23-21-0003 <br /> LEGAL DESC AUDITOR'S SUBD.NO.230 <br /> LOT 008 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIREPLACE-GAS <br /> VALUATION $ 3,500.00 <br /> NOTE: 42"CAROLINA GAS FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> CARTER CUSTOM CONSTRUCTION&FP STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 6128 GOODVIEW TR CR N <br /> HUGO,MN 55038- MAIL-IN FEE 2.00 <br /> (651)653-0190 MISC FEE 0.00 <br /> Minnesota State License#:20632066 TOTAL 57.00 <br /> OWNER <br /> Watertown Properties LLC <br /> 16440 41ST AVE N <br /> PLYMOUTH,MN 55446- <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 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 responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> (evoked at any time for due cause' <br /> ''ytitltll✓ L/�_ l l l l <br /> Applicant Permitee Signature Date Issued By S' ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br /> i <br />