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' ' CITY OF ORONO * 2 0 1 z - 0 0 z 9 z * <br /> 2750 KELLEY PARKWAY . nA'rE�ssuEn: 04/18/2012 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1453 PARK DR <br /> PIN : 07-117-23-42-0022 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 009 BLOCK 015 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRLTCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,000.00 <br /> NOTE: GAS FIREPLACE-HEAT-N-GLO <br /> GASLINE FROM FURNACE TO FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> KAVENEY,PATRICK STATE SURCHARGE MECH(VALUATION) 1.00 <br /> 1453 PARK DRIVE TOTAL 51.00 <br /> MOUND,MN 55364 <br /> OWNER <br /> KAVENEY,PATRICK <br /> 1453 PARK DRIVE <br /> MOiJND,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 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 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 a plicant is responsible for assuring all required inspections aze <br /> req st in conformance with the State Building Code.This permit may be � <br /> f r due cause. <br /> ---__...,._._.. : <br /> - i��l i �Z � �i � i <br /> Applicant Permitee Signature Date Iss d y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />