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� CITY OF ORONO PERMIT NO.: 2010-00397 <br /> { 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �A7'E ►ssuEu: OS/27/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2525 DUNWOODY AVE <br /> PIN : 20-117-23-22-0018 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 009 BLOCK 008 <br /> PERMIT TYPE : MECHAN[CAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,800.00 <br /> NOTE: HEAT N GLO GAS FIREPLACE FB-IN <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH& HOME STATE SURCHARGE MECH(VALUATION) 1.40 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 <br /> (651)633-2561 MISC FEE 0.00 <br /> Minnesota State License#: 20512060 TOTAL 53.40 <br /> OWNER <br /> PEEL, MICHAEL <br /> 2525 DUNWOODY AVE <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 specitications,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 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 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cauSe. <br /> �i i��c.c.� Ci/L, / / / / <br /> Applicant Permitee Signature Date Issued By ' nature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />