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• ' CITY OF ORONO * 2 0 1 4 - 0 0 z B 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/07/2014 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1447 PARK DR <br /> PIN : 07-117-23-42-0021 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 008 BLOCK O15 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 2,700.00 <br /> NOTE: (1)KOZY HEAT GAS FACTORY FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.35 <br /> GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 <br /> 100 ELDORADO DRIVE TOTAL 53.35 <br /> JORDAN,MN 55352 <br /> (952)495-2927 Payment(s) <br /> CHECK 18675 5335 <br /> OWNER <br /> PALM,MARK&PAMELA <br /> 1447 PARK DR <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 pertnit 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 goveming 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> C � / � / � 7 <br /> Applicant Permitee Signature te Issu By Signature Date <br />