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CITY OF ORONO PERMIT NO.: 2009-00117 <br /> 2750 KELLEY PARKWAY <br /> . <br /> ORONO, MN 55356- �ATE ISSUEn: 03/20/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3546 [VY PL <br /> PIN : 20-117-23-42-0018 <br /> LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 9,380.00 <br /> NOTG: 2 FACTORY GAS PP HF,AT N GLO <br /> APPLICANT MECHANICAL 117.25 <br /> FIRES[DE HEARTH& HOME STATE SURCHARGE MECH (VALUATION) 4.69 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 55113 TOTAL 121.94 <br /> (651)633-2561 <br /> Minnesota State License#: 20512060 <br /> OWNER <br /> DRAZAN, MICHAEL& MARY <br /> 3546IVY PL <br /> WAYZATA, MN 55391- <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[3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> pennits. All provisions of laws and ordinances governing this type of work <br /> shali 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 /> � �f�� `-� l/1 J /!�J / �� / / <br /> Applicant Permitce Signatu Date Issued By S� ature Date <br /> SEPARATE PERM[TS REQU[RED FOR WORK OTHER THAN DESCRIBE BOVE. <br />