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CITY OF ORONO * Z p� 1 5 - 0 1 4 3 9 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 1 U09/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2470 CARMAN ST <br /> P[N : 20-117-23-12-0066 <br /> LEGAL DESC : LEHMAN LAGOON <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�ISTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 8,860.00 <br /> NOTE: (5)GAS FIREPLACES <br /> APPLICANT MECHANICAL 110.75 <br /> STATE SURCHARGE MECH(VALUATION) 4.43 <br /> GLOWING HEARTH AND HOME MAIL-IN FEE 2.00 <br /> l00 ELDORADO DRIVE <br /> JORDAN, MN 55352 TOTAL 117.18 <br /> (952)495-2927 Payment(s) <br /> CHECK 21924 117.18 <br /> OWNER <br /> JARNES,JEFF&JACQ <br /> 2470 CARMAN ST <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> [he approved pians 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 separa[e <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whe[her or not specified herein.This permit will <br /> expire and become null and void if cons[ruction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of l80 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 any time for due cause. <br /> � �� C� / <br /> � ° (�l��U l �/ ! <br /> Applicant Permitee Signature � Date Issued y Signatare Date <br />