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CITY OF ORONO * 2 0 1 3 — 0 0 7 3 3 * <br /> 2750 KELLEY PARKWAY pATE ISsuE�: 07/29/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 110 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0046 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 012 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPF. : FIREPLACE-GAS <br /> VALUATION : $ 3,600.00 <br /> NO"CG: 1 HEA"1�N GLO ESCAPF. I30C <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH & HOME STATE SURCHARGE MECH(VALUATION) 1.80 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 <br /> (651)633-2561 TOTAL 53.80 <br /> Minnesota State License#: 20512060 <br /> OWNER <br /> HIGGINS, KENNETH&LAURA <br /> 110 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> l�he���ork 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 fbr only the work described and does <br /> not erant 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.'i'his pennit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 da}'s of the date of issuance,or if construction is <br /> suspended fbr a period of 180 days at a�ry time after work has commenced. <br /> The applicant is responsible for assuring alI required inspections are <br /> requested in confonnance wkh the State 13uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> `f�-�-C `�- i l <br /> � � <br /> Applicant Permitee Signature Date Issued By Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED B . <br />