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CITY OF ORONO * 2 0 1 3 - 0 0 4 7 B * <br /> � � 2750 KELLEY PARKWAY DATE ISSUED: OC�1]/2013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2789 PHEASANT RD <br /> PIN : 21-117-23-32-0005 <br /> LEGAL DESC : REG.LAND SURVEY NO.0310 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 15,000.00 <br /> NOTE: 3 GAS FIREPLACES <br /> 2 WOODBURNING FP <br /> APPLICANT MECHANICAL 187.50 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 7.50 <br /> 100 ELDORADO DRIVE <br /> JORDAN,MN 55352 - MAIL-IN FEE 2.00 <br /> (952)495-2927 TOTAL 197.00 <br /> OWNER <br /> TEYNOR,GAIL&JOSEPH <br /> 13225 CARDINAL CREEK RD <br /> EDEN PRAIRIE,MN 55346- <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 dces <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 I80 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 /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />