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CITY OF ORONO PERMIT NO.: 2011-00147 <br /> r �' 27�0 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 03/07/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3380 GRAHAM HILL RD <br /> PlN : OS-117-23-11-0013 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 2 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 4,200.00 <br /> NOTG: 2 HEAT N GLO GAS FIRI:PLACGS <br /> APPLICANT MECHANICAL 52.50 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH (VALUATION) 5.00 <br /> ]00 ELDORADO DRIVE <br /> JORDAN, MN 55352 MAIL-IN FEE 2.00 <br /> (952)495-2927 MISC FEE 0.00 <br /> TOTAL 59.50 <br /> PAID WITH CASH 2.90 <br /> OWNER <br /> RUDOW, DAVID PAID WITH CC# 9799 <br /> 3380 GRAHAM HILL RD <br /> ORONO, MN ��356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�rork for which this permit is issued shall bc perfonncd accordin�to <br /> �the approved plans and specifications,applicable Ciry approvals,and the <br /> State 13uilding Code. This pennit is for only the work described and does <br /> not grant permission for additional or related work which rcquires separate <br /> pcnnits. All provisions ot�laws and ordinanccs govcrning this type of work <br /> shall bc compied�vith�vhether or not specified herein.This permit will <br /> e�pire and become null and void if construction authorized is not <br /> commenced within I 80 days of d�e date of issuance,or if construction is <br /> suspended for a period of 1 RO days at any time atter���ork has commenccd. <br /> The applicant is responsible for assuring all rcquired inspections are <br /> requested in conibrmance wi�h th�State 13uildin�Cude.This permil may be <br /> revoked at any time for�ue cause. <br /> i�2�l��� v'�-- l l l l <br /> Applicant Permitec Signalure Date Issued Qy � nalure Date <br /> SEPARATE PERMITS REQUfRED FOR WORK OTHE THAN DESCRIBED BO . <br />