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� CITY OF ORONO PERMTT NO.: 2011-00434 <br /> , <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 06/0'7/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 155 KINTYRE LA <br /> PIN : 32-118-23-43-0016 <br /> LEGAL DESC : KINTYRE TWO <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,400.00 <br /> NOTE: 1 HEAT N GLO PALOMA-GY <br /> APPLICANT MECHANICAL 50.00 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 1.20 <br /> 100 ELDORADO DRIVE <br /> JORDAN,MN 55352 MAIL-IN FEE 2.00 <br /> (952)495-2927 TOTAL 53.20 <br /> OWNER <br /> ROLL&JACQUELINE WILLIAMS-ROLL,MICHAEL <br /> 75 FERNDALE RD N <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 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 />� 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 c�ue cause. <br /> �w'� �� � � / / <br /> Applicant Permitee Signature Date Issued By Si re ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />