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� CITY OF ORONO * z � 1 5 — 0 0 e 9 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 1392 BALDUR PARK RD <br /> PIN : 08-117-23-31-0003 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�ISTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,989.00 <br /> NOTE: HEAT&GLO FIREPLACE <br /> APPLICANT MECHAN[CAL 50.00 <br /> STATE SURCHARGE MECH (VALUATION) 1.49 <br /> GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 <br /> 100 ELDORADO DRIVE <br /> JORDAN, MN 55352 TOTAL 53.49 <br /> (952)495-2927 Payment(s) <br /> 53.49 <br /> OWNER <br /> GEHLE,GILBERT <br /> 1392 BALDUR PARK RD <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 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 /> � � ���.:���{S C� � � J 7 <br /> Applicant Permitee Signature Date Issued By Sig ture Date <br />