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� _ CITY OF ORONO PERMIT NO.: 2011-00312 <br /> . 2750 KELLEY PARKWAY <br /> ` ORONO,MN 55356- DATE IssuEn: 05/09/20ll <br />;�:: <br />;� <br /> 952 249-4600 FAX: 952 249-4616 <br />; � <br /> i •ADDRESS : 155 KINTYRE LA <br />� $IN : 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 : $ 4,250.00 <br /> NOTE: MARQUIS/MAJESTIC GAS FP'S <br /> i <br /> i <br /> ;: <br /> APPLICANT MECHANICAL 53.13 <br /> AUTOMATIC GARAGE DOOR&FIREPLACE STATE SURCHARGE MECH(VALUATION) 2.13 <br />; 8900 109TH AVE N <br /> SUITE 1000 MAIL-IN FEE 2.00 <br /> ; CHAMPLIN,MN 55316 MISC FEE 0.00 <br /> i (763)571-2525 TOTAL 57.26 <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 sepazate <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 /> $uspended 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 /> ':r ievoked at any time for due cause. <br /> ��� �'�� �� / i <br /> „flpplicant Permitee Signature Date Issued By S' ture Date <br /> � <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB <br />