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CITY OF ORONO PERMIT NO.: 2010-01137 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 11/18/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 925 WILLOW VIEW DR <br /> PIN : 28-118-23-44-0008 <br /> LEGAL DESC : WILLOW VIEW <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,600.00 <br /> NOTE: INSTALL FACTORY GAS FIREPLACE-MODEL NO.NDV39331-NOVUS <br /> INSTALL GASLINE TO FIREPLACE <br /> APPLICANT <br /> MECHANICAL 50.00 <br /> AUTOMATIC GARAGE DOOR&FIREPLACE STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 8900 109TH AVE N TOTAL 55.00 <br /> SUITE 1000 <br /> CHAMPLIN,MN 55316 <br /> (763)571-2525 <br /> OWNER <br /> ELLIS,LOUIS&MARY <br /> 925 WILLOW 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 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 /> revoked at any time for due cause. <br /> Ap i ant Permitee Signature Date Issue.ey Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />