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CITY OF ORONO * 2 0 1 2 - 0 1 2 3 2 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 12/12/2012 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> REPRINTGD ON 12/12/2012 <br /> ADDRESS : 3925 CHERRY AVE <br /> PIN : 08-117-23-33-0086 <br /> LEGAL DESC : HICKORY HILL <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,200.00 <br /> NOTE: (1)CAS P'ACTORY C'IREPLACC -LENNOX -MODEL#'S MLDV"1�40 DOWNSTAIRS FIRGPLACE ONLY <br /> APPLICANT MECHANICAL 50.00 <br /> FERGUSON STATE SURCHARGE MECH (VALUATION) 0.60 <br /> 925 DECATUR AVENUE <br /> GOLDEN VALLEY, MN 55427- TOTAL 50.60 <br /> (763)367-0317 PAID WITH CASH 50.60 <br /> OWNER <br /> Real Assets LLC <br /> 550 25TH AVE N <br /> ST CLOUD, MN 56301- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitieations,applicable City approvals,and the <br /> State E3uilding Code. This permit is for only the work described and does <br /> not grant perniission for additional or related work which requires separate <br /> perniits. All provisions oflaws and ordinances goveming this type oCwork <br /> shall be compied with whether or not specified herein.This permit will <br /> ;xpire and become null and void if construction authorized is not <br /> commcnced within 180 days of the date of issuance,or if construction is <br /> suspcnded 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 ir�conformance with the State Building Code.This permit may be <br /> revoked�i,&ny time for due cause. <br /> ' ��.�1� ��i�/ �� �l � � � � � <br /> Applicant Permitee Signa rc, Date �� � ��— <br /> Iss By Signalure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />