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, '' CITYOFORONO * 2pJ 13 - 00757 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/05/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2280 SHADOWOOD DR <br /> PIN : 27-118-23-32-0015 <br /> LEGAL DESC : SHADOWOOD FARM <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 2,100.00 <br /> NOTE: 1 KITCHEN EXHAUST <br /> 1 BATH FAN <br /> 1 DRYER <br /> GAS LINE TO KITCHEN STOVE <br /> RECONNECT SUPPLIES AND RETURNS <br /> APPLICANT MECHANICAL 50.00 <br /> LEWIS HEATING AND AIR STATE SURCHARGE MECH(VALUATION) 1.05 <br /> 1371 144TH STREET <br /> NEW RICHMOND, WI 54017- TOTAL 51.05 <br /> (612)940-4565 <br /> OWNER <br /> BEST,WILLIAM&TEDDE <br /> 2280 SHADOWOOD DR <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,app(icable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> no[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 wnformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Y �.e� `�� � � � � <br /> A plicant Permitee Signature Date Issued y Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB <br />