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,`�` CITY OF ORONO <br /> * 2PJ 12 - 0 1fd50 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/18/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3205 GRAHAM HILL RD <br /> PIN : OS-117-23-14-0065 <br /> LEGAL DESC : GRAHAM HILL PRESERVE <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : MECHAN[CAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 4,500.00 <br /> NOTE: TOWN&COUNTRYTC42 CE <br /> APPLICANT MECHAN[CAL 56.25 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 2.25 <br /> 100 ELDORADO DRNE <br /> JORDAN, MN 55352 MAIL-IN FEE 2.00 <br /> (952)495-2927 TOTAL 60.50 <br /> OWNER <br /> KISSNER, MATT&NEENA <br /> 505 S IOTH STREET <br /> MINNEAPOLIS, MN 55404- <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he work t�x�chich this pcnnit is issued shall be perfonned according to <br /> the approved plans and specitications,applicable Ciry 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 l80 days of the date of issuance,or if cons[ruction is <br /> suspended for a period of 180 days at any time afrer work has commenced. <br /> The applican[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 d4e cause. <br /> �`�/�,� v��v� / / l l <br /> Applicant Permitee Signature Date Issued ignature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />