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CITY OF ORONO PERMIT NO.: 2011-01538 <br /> � 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- �ATE �ssuEn: 12/09/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1420 BALDUR PARK RD <br /> PIN : 08-117-23-34-0014 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT O10 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,500.00 <br /> NOTE: HEAT N GLO GAS FP <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.25 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 551 l3 MAIL-IN FEE 2.00 <br /> (651)633-2561 MISC FEE 0.00 <br /> Minnesota State License#: 20512060 TOTAL 53.25 <br /> OWNER <br /> ETAL, BRADLEY MCDONNELL <br /> 1420 BALDUR PARK RD <br /> WAYZATA, MN 55391- <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. "Chis permit is for only the work described and does <br /> not grant permission for addi[ional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied witl�whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I 80 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 confonnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ,/���.�L�"/l� � � � / / <br /> Applicant Permitee Signature Date Issued By ature a <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />