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CITY OF ORONO PERMIT NO.: 2011-00710 <br /> 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- �ATE IssUED: 07/27/2011 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 120 CREEK RIDGE PASS <br /> PIN : 03-117-23-12-OO14 <br /> LEGAL DESC : CREEKSIDE IN ORONO <br /> : LOT 003 BLOCK 001 <br /> PERM[T TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 6,000.00 <br /> NOTE: (1)GAS FIREPLACE AND(1)WOODBURNING GIREPLACE <br /> APPLICANT MECHANICAL 75.00 <br /> CONDOR FIREPLACE& STONE CO. STATE SURCHARGE MECH (VALUATION) 3.00 <br /> 8282 ARTHUR ST NE <br /> SPRING LAKE PARK, MN 55432 MA[L-IN FEE 2.00 <br /> (763)786-2341 TOTAL 80.00 <br /> OWNER <br /> GUSTAFSON, M[CHAEL& SUSAN <br /> 1000 SHELARD PKWY#300 <br /> MINNEAPOLIS, MN 55426- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performcd according to <br /> the approved plans and specitications,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[his type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become nuli and void if construction authorized is not <br /> commaiced 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 /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the Statc Building Code.This permit may be <br /> revoked at any time for due cause. <br /> `;y� vl'�._. l l l l <br /> Applicant Permitee Signature Date Issued By Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />