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CITY OF ORONO PERMIT NO.: 2011-00122 <br /> t ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 02/22/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 601 MINNETONKA HGLD LA <br /> PIN : 06-117-23-41-0091 <br /> LEGAL DESC : MINNETONKA SUMMIT PARK <br /> : LOT 000 BLOCK 009 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-WOOD <br /> VALUATION : $ 5,000.00 <br /> NOTE: QUADRA FIRE 7100 FP WOOD BURNING FIREPLACE <br /> APPLICANT MECHANICAL 62.50 <br /> FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 5.00 <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 69.50 <br /> OWNER <br /> VANCAMP,NATHAN&WENDY <br /> 601 MINNETONKA HGLD LA <br /> LONG LAKE,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 does <br /> not grant permission for additional or related work which requires sepazate <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 180 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 /> �;1 lQ-� -v✓� i i i i <br /> Applicant Permitee Signature Date Issued By Sign re Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. <br />