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` CITY OF ORONO PERMIT NO.: 2011-00648 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUED: 07/13/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3852 CHERRY AVE <br /> PIN : 08-117-23-33-0088 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 003 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,200.00 <br /> NOTE: GAS PACTORY FIREPLACE-HEAT-N-GLO MODEL NO.550 <br /> APPLICANT MECHANICAL 50.00 <br /> COUNTRYSIDE HEATING&COOLING <br /> 6511 HWY 12 STATE SURCHARGE MECH (VALUAT[ON) 1.60 <br /> MAPLE PLA[N,MN 55359 TOTAL 51.60 <br /> (763)479-1600 <br /> OWNER <br /> LARSON, ALLAN&TERRI <br /> 3852 CHERRY AVE <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for wfiich this permit is issued shall be perfonncd according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Codc. 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 specitied 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 /> Thc 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 fo due cause� <br /> � � �� � i/ ��� �13 � �/ <br /> A e Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />