Laserfiche WebLink
� 4 <br /> CITY OF ORONO * 2 0 1 5 — 0 1 5 9 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/28/2015 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: 952)249-4616 <br /> ADDRESS : 2730 PHEASANT RD <br /> PIN : 21-117-23-23-0057 <br /> LEGAL DESC : PHEASANT LAWN/2 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 1,608.47 <br /> NOTE: KOZY HEAT GAS FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> GLOWING HEARTH AND HOME STATE SURCHARGE MECH(VALUATION) 0.80 <br /> 100 ELDORADO DRIVE MAIL-IN FEE 2.00 <br /> JORDAN,MN 55352 TOTAL 52.80 <br /> (952)495-2927 Payment(s) <br /> CHECK 22249 52.80 <br /> OWNER <br /> COTTER,JEFF&PEGGY <br /> 2730 PHEASANT RD. <br /> EXCELSIOR,MN 55331- <br /> r ,. <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Buildin�Code. This permit is for only the work described and dces <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 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 pertnit may be <br /> revoked at any time for due cause. <br /> �Gil.t.�f�� ` /oZ/ oZ� /J`' <br /> Applicant Permitee Signature ' Date Issued Signature Date <br />