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. <br /> � � CITY OF ORONO * 2 0 1 3 - 0 0 4 0 0 * <br /> ° 2750 KELLEY PARKWAY pATE �SSUE�: OS/22/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 430 BROWN RD S <br /> PIN : 03-117-23-42-OOII <br /> LEGAL DESC : STRONGHOLD <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION ; $ 2,200.00 <br /> NOTE: HEAT N GLO 24" SUPREMF,SEE TfIRU GAS LOG � �� , <br /> � � ��, <br /> � � �� �� <br /> � � � <br /> � ,���,, <br /> � �� <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.10 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 551 13 MAIL-IN FEE 2.00 <br /> (651)633-2561 TOTAL 53.10 <br /> Minnesota State License#: 20512060 <br /> OWNER <br /> BREHM, EDWARD&KRISTEN <br /> 430 BROWN RD S <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 goveming 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 atter work has commenced. <br /> The applican[is responsible for assuring all required inspections are <br /> requested in conYormance with[he State Building Code.This permit may be <br /> revoked at any time for due cause. � <br /> ` /�"'_ " �/11�. / / / / <br /> Applicant Permitee Signature Date Issued By S' nature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . <br />