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,� CITY OF ORONO PERMIT NO.: Zoiaooi29 <br /> , <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 03/08/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4149 HIGHWOOD RD <br /> PIN : 07-117-23-44-0018 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 022 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 3,405.00 <br /> NOTE: HEAT N GLO 750 TRS-IPI <br /> APPLICANT MECHANICAL 50.00 <br /> TWIN CITY FIREPLACE CO. STATE SURCHARGE MECH(VALUATION) 1.70 <br /> 6916 WASHBURN AVE. S. <br /> MINNEAPOLIS,MN 55423- MAIL-IN FEE 2.01 <br /> (612)282-2684 TOTAL 53.71 <br /> OWNER <br /> KOCH,MARK&NANCY <br /> 4149 HIGHWOOD RD <br /> MOUND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <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 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 /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �y1�t,�.c-� fiw / / �__ / / <br /> Applicant Permitee Signature Date Issued By ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV <br />