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CITY OF ORONO PERMIT NO.: 2011-01589 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 12/29/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2490 OLD BEACH RD <br /> PIN : 21-117-23-22-0005 <br /> LEGAL DESC : SHORE HILLS <br /> : LOT 004 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 6,500.00 <br /> NOTE: 2 HEAT N GLO&QUADRAFIRE FIREPLACES <br /> APPLICANT MECHANICAL 81.25 <br /> FIRESIDE HEARTH&HOME STATE SURCHARGE MECHALT3.25 <br /> 2700 FAIRVIEW AVE UAION) <br /> ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 <br /> (651)633-2561 MISC FEE 0.00 <br /> Minnesota State License#:20512060 TOTAL 86.50 <br /> OWNER <br /> METNTEE,SHAWN&JACQUELINE <br /> 2490 OLD BEACH RD <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 due cause. <br /> tom^' � � ��►'h,G.�-� <br /> Applicant Permitee Signature Date Issued By Si a Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOUE. <br />