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` ' CITY OF ORONO * z 0 1 3 - 0 0 7 8 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/12/2013 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3210 GRAHAM HILL RD <br /> PIIV : OS-117-23-11-0009 <br /> LEGAL DESC : GRAHAM HILL PRESERVE-2 <br /> : LOT 1 BLOCK 2 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : FIREPLACE -GAS <br /> VALUATION : $ 6,700.00 <br /> NO'I'E: 1 GAS F'P HEA"1'N GLO 6000C-IPI <br /> 1 WOOD f3URNING PP LI:NNOX 23M92 <br /> APPLICANT MECHANICAL 83.75 <br /> GLOWING HEARTH AND kiOME STATE SURCHARGE MECH (VALUATION) 3.35 <br /> 100 ELDORADO DRIVE <br /> JORDAN, MN 55352 MAIL-IN FEE 2.00 <br /> (952)495-2927 TOTAL 89.10 <br /> OWNER <br /> MESENBURG, MATT& MICHELLE <br /> 2525 KELLER ROAD <br /> LONG LAKE, MN 55356- <br /> AGREEME]YT AND SWORN STATEMENT <br /> fhe�vork for���hich this pennit is issued shall be performed according to <br /> the approvcd plans and specifications,applicable City approvals,and thc <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 /> pemiits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied hereia This permit will <br /> expire and become null and void iY construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period oY 180 days at any time after work has commenced. <br /> I he applicant is responsible for assuring all required inspections are <br /> requcsted in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> `/� G�' / / / / <br /> npplicant Permitce Signature Date Issued y.� nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED A OVE. <br />