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. <br /> CITY OF ORONO PERMIT NO.: 2010-00104 <br /> 2750 KELLEY PARKWAY <br /> � <br /> ~ ORONO, MN 55356- �A'rE ISSUEn: 02/25/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1978 SHADYWOOD RD <br /> PIN : 17-117-23-24-0026 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 5,000.00 <br /> NOTE: REPLACE FURNANCE&NF.W FIREPLnCG <br /> APPLICANT MECHANICAL 62.50 <br /> PETERS, BR1AN STATE SURCHARGE MECH (VALUATION) 2.50 <br /> 1978 SHADYWOOD ROAD <br /> WAYZATA, MN 55391- TOTAL 65.00 <br /> OWNER <br /> PETERS, BRIAN <br /> 1978 SHADYWOOD ROAD <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 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 separate <br /> pennits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied 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 a[any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in con e with the State Building Code.This permit may be <br /> revoke or due cause. ,- �L�� �._, <br /> J `� � — ' -- <br /> ��-- �' l -�s�l i o l/�-C/�-'�-�, �`�>`1���_C�l� �""'`� � <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />