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CITYOFORONO * z014 - 00280 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/04/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3227 CASCO CIR <br /> PIN : 20-117-23-43-9999 <br /> LEGAL DESC : SPRING PARK <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 10,400.00 <br /> NOTE: (2)GAS FACTORY FIREPLACES <br /> APPLICANT MECHANICAL 130.00 <br /> STATE SURCHARGE MECH (VALUATION) 5.20 <br /> GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 <br /> 100 ELDORADO DRIVE <br /> JORDAN, MN 55352 TOTAL 137.20 <br /> (952)495-2927 Payment(s) <br /> CHECK 18672 137.20 <br /> OWNER <br /> O'ROURKE, JAMES <br /> 1 181 VAGABOND CT N <br /> PLYMOUTH, MN 55447- <br /> AGREEMENT AND SWORN STATEMENT <br /> "I'he work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State E3uilding Code. This permit is for only the work described and does <br /> no[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 no[specified herein.This permi[will <br /> expire and become null and void if construction authorized is no[ <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 aRer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in contbrmance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � <br /> � / / <br /> Applieant Permitee Signature D te Issue y Signature Date <br />