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t CITY OF ORONO <br /> , 2750 KELLEY PARKWAY 'K 2 0 1 6 - 0 0 6 3 9 * <br /> DATE ISSUED: 06/06/2016 <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 <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> ACTIVITY . <br /> VALUATION : $ 16,000.00 <br /> NOTE: 2 HEATING SYSTEMS LENNOX SLP,2 LENNOX AC <br /> APPLICANT MECHANICAL 200.00 <br /> GV HEATING&AIR,INC. STATE SURCHARGE MECH(VALUATION) 8.00 <br /> 5182 W.BROADWAY MAIL-IN FEE 2.00 <br /> CRYSTAL,MN 55429- TOTAL 210.00 <br /> �� Payment(s) <br /> CREDIT CARD 7420 210.00 <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,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <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 suthorized 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 aze <br /> requested in conformance with the State Building Code.1'his permit may be <br /> revoked at any time for due cause. <br /> �..� �'""� C�U � /� /�� <br /> Applicant Permitee Signature Date Issued By ' ature Date <br />