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R CITY OF ORONO PERMIT NO.: 2009-00633 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/25/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 2460 THOROUGHBRED LA <br /> PIN 04-117-23-11-0014 <br /> LEGAL DESC OLD CRYSTAL BAY ROAD 2ND ADDN <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-WOOD <br /> VALUATION : $ 10,100.00 <br /> NOTE: WOOD BURNING FIREPLACE <br /> APPLICANT MECHANICAL 126.25 <br /> JOSH EVANS MASONRY <br /> 5984 RIDGEWOOD STATE SURCHARGE MECH(VALUATION) 5.05 <br /> MOUND,MN 55364 TOTAL 131.30 <br /> (612)382-0848 <br /> OWNER <br /> SHAH&NIMA DESAI,BUGAR <br /> 2460 THOROUGHBRED LA <br /> LONG LAKE,MN 55356 <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 pny time for due cause. <br /> App'c q&Permitee Si re Date <br /> Issdypy Signat a Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />