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CITY OF ORONO PERMIT NO.: 2011-00730 <br /> , 2750 KELLEY PARKWAY <br /> , ORONO, MN 55356- �ATE �SSUEn: 07/27/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 115 CREEK RIDGE PASS <br /> PIN : 03-117-23-12-0013 <br /> LEGAL DESC : CREEKSIDE IN ORONO <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 5,000.00 <br /> NO"I E: 2 HEAT N G1,0 GAS FP <br /> APPLICANT MECHANICAL 62.50 <br /> FIRESIDE HEARTH & HOME STATE SURCHARGE MECH(VALUATION) 2.50 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 551 13 MA[L-IN FEE 2.00 <br /> (651)633-2561 MISC FEE 0.00 <br /> Minnesota State License#: 20512060 TOTAL 67.00 <br /> OWNER <br /> PFEIFER, ANDY&MARNIE <br /> 115 CREEK RIDGE PASS <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc���ork 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 wark described and does <br /> not grant permission for additional or relatcd work which requires scparatc <br /> permits. All provisions oY laws and ordinances governing this type of work <br /> shall be compied with whcther 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 atter work has commenced. <br /> The applicant is responsible Yor 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 /> �_�Vti/l-f�/�. �/✓�, / / / / <br /> Applicant Permitee Signature Date Issued By S� ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />