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• CITY OF ORONO PERMIT NO.: 2011-00220 <br /> , 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 04/14/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1815 FAGERNESS POINT RD <br /> PIN : 17-117-23-22-0033 <br /> LEGAL DESC : MAPLEGATE INLET <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,000.00 <br /> NOTE: GAS 1=ACTORY PIRGPLACE-VALOR-MODEL;VO. 7391RN <br /> APPLICANT MECHANICAL 50.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUATION) 5.00 <br /> 434..B SHADY OAK RD <br /> HOPKINS, MN 55343 TOTAL 55.00 <br /> (952)933-1868 <br /> OWNER <br /> � MCKEE, MR. & MRS. MELVIN <br /> 1815 FAGERNESS PT RD <br /> WAYZATA, MN �5391- <br /> AGRGEMENT AND SWORN STATEMENT <br /> "I'he work for���hich this permit is issued shall be perfonncd accordin��to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. 'fhis permit is for only the work described and does <br /> not crant pennissioi�for additional or related work which requires separate <br /> pcnnits. All provisions of laws and ordinances governing this type of work <br /> shall be compicd�vith whether or not specified herein.'fhis pennit will <br /> expire and become null and void if construction authorized is not <br /> commenccd wilhin I 80 days of Uic date of issu�nce,or if construction is <br /> suspended for a period of 180 days at any time alter work has commenced. <br /> 'I�he applicant is responsible for assuring all required inspections are <br /> requested in conformance���ith the State L3uilding Code.This permit may be <br /> r �ed at any ti �e�e cause. _ <br /> / / � ; <br /> � � � <br /> Applicanl Permitee Signature Date Issucd, v Signature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />