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t <br /> CITY OF ORONO PERMIT NO.: 2009-00850 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE Iss[7ED: 1U30/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2715 PENCE LA <br /> PIN : 21-117-23-32-0007 <br /> LEGAL DESC : CARMAN BAY HEIGHTS <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,000.00 <br /> NOTE: GAS F[REPLACE-TRAVIS-MODEL NO. 98400108 <br /> APPL[CANT MECHANICAL 50.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUAT[ON) 1.00 <br /> 4342 B SHADY OAK RD <br /> HOPKINS,MN 55343 TOTAL 51.00 <br /> (952)933-1868 <br /> OWNER <br /> SYNDER& SHERRYL STERN, STEVEN <br /> 2715 PENCE LA <br /> EXCELSIOR, MN 55331 <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 bc <br /> re oked at any1me f�due au ,. , <br /> i` ' . • �, , 3� , G� <br /> icant Permit ignature Date ��� ��� <br /> I u By Signature Datc <br /> SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. <br />