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CITY OF ORONO PERM[T NO.: 2011-00772 <br /> 2750 KELLEY PARKWAY <br /> � � ORONO, MN 55356- DATE ISSUED: 08/02/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2330 GLENDALE COVE LA <br /> PIN : 34-118-23-33-0063 <br /> LEGAL DESC : GLENDALE COVE <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,785.00 <br /> APPLICANT MECHANICAL 50.00 <br /> AUTOMATIC GARAGE DOOR& FIREPLACE STATE SURCHARGE MECH(VALUATION) 0.89 <br /> 360 COON RAPIDS BLVD TOTAL 50.89 <br /> COON RAPIDS, MN 55433- <br /> (763)576-7218 <br /> OWNER <br /> RHOADS,N[CK&JENNY <br /> 140 CARLSON PKWY#308 <br /> MINNETONKA, MN 55345- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perforn�ed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This pemiit 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 within 180 days of the date of issuance,or if construction is <br /> suspended Y'or 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 State Building Code.This pemlit may bc <br /> revoked at any time for due cause. �,�� <br /> C��-�-�-- 3'i z i�� ' ;� � �� C �`�'Y�C:r� i�i �� -� � <br /> Applicant Permitee Signature Date Issued By Signatu e Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />