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. � CITY OF ORONO * 2 0 1 6 - PJ 0 7 8 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/07/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1400 BALDUR PARK RD <br /> PIN : 08-117-23-31-0001 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT 015 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> CONTINENTAL GAS FACTORY FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> HEAT[NG&COOLING DESIGN INC STATE SURCHARGE MECH(VALUATION) 1.00 <br /> 1010 118TH AVENUE TOTAL 51.00 <br /> BLAINE,MN 55434- Payment(s) <br /> (763)291-8519 51.00 <br /> OWNER <br /> ELLIOTT, STEVE <br /> 1400 BALDUR PARK RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for wfiich 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 specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced wi[hin 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer work has commenced. <br /> The 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 for due cause. <br /> _ '�� �-�� � -� <br /> �--�,��- � � , � , � <br /> Applicant Permitee Signature Date Issued Signature Date <br />