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� , . <br /> , � <br /> CITY OF ORONO PERMIT NO.: 2011-00806 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE 1SSUEu: 08/OS/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 753 BOULDER DR <br /> PIN : 33-118-23-11-0074 <br /> LEGAL DESC : STONEBAY THIRD ADDITION <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,000.00 <br /> NOTE: GAS FAC'I�ORY FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> CONDOR FIREPLACE& STONE CO. STATE SURCHARGE MECH(VALUATION) 1.00 <br /> 8282 ARTHUR ST NE <br /> SPRING LAKE PARK, MN 55432 TOTAL 51.00 <br /> (763)786-2341 <br /> OWNER <br /> O.T. Development, LLC <br /> LLC, O.T. DEVELOPMENT, <br /> 2670 KELLEY PKWY <br /> ORONO,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 docs <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 compicd with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 ace <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �-��- � i s� i 1 � �i � i ! <br /> App(icant Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />