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CITY OF ORONO PERMIT NO.: 2008-00456 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- nATE TssUEn: 12/19/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 745 DICKEY LAKE DR <br /> PIN : 34-118-23-22-0008 <br /> LEGAL DESC : RINGERSWOOD <br /> : LOT 004 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE- WOOD <br /> VALUATION : $ 1,800.00 <br /> NOTE: <br /> WOOD[3URNING FIREPLACF,-13RAND NAME: V�RMONT CASTING-MODEL NO: MON"1'YC13 <br /> APPLICANT MECHANICAL 35.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUATION) 0.90 <br /> 4342B SHADY OAK RD TOTAL 35.90 <br /> HOPKINS, MN 55343 <br /> (952)933-1868 <br /> OWNER <br /> HANTEN, ROBERT& LISA <br /> 745 DICKEY LAKE DR <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT ' <br /> Thc work 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 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 governing this type of work <br /> shall be compied with whether or not speciYied herein.This permit will <br /> expire and become null and void if construction authoriced 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 /> The applicant is responsibic for assuring all required inspections are <br /> requested in conformance with the State[3uilding Code.This permit may be <br /> revok at any ti or due causc. <br /> � / � , I� )� / �c� / / <br /> App icant Permilee Si ature Date Issued 13y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />