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• ► . CITY OF ORONO * z 0 1 z - 0 1 1 6 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U13/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2365 GLENDALE COVE LA <br /> PIN : 34-118-23-33-0068 <br /> LEGAL DESC : GLENDALE COVE <br /> : LOT 009 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,000.00 <br /> NOTF,: (1)GAS FACTORY FII2EPLACL-BRAND NAME: }I-N-G, MODEL NO. SL750"1'R-IPI <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH &HOME STATE SURCHARGE MECH (VALUATION) 0.50 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 551 13 MAIL-IN FEE 2.00 <br /> (651)633-2561 TOTAL 52.50 <br /> Minnesota State License#: 20512060 <br /> OWNER <br /> BARNIER, STEVEN P <br /> 2365 GLENDALE COVE LN <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Buildine 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 this type of work <br /> shall be compied with whether or not specitied 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 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 /> requesled in conformance with the State Building Code.This permit may bc <br /> revoked at any time for due cause. <br /> ��ivt a,-��'� // � /.� � �z J 1 i l�3 i l z <br /> App 'cant Permitee Signature Date Issued y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />