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� CITY OF ORONO PERMIT NO.: 2009-00680 <br /> � 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/07/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2100 SHADYWOOD RD <br /> PIN : 17-117-23-31-0041 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 030 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 24,500.00 <br /> NOTE: 2 LENNOX FURNACES <br /> 2 LENNOX AC <br /> 1 KITCHEN EXHAUST <br /> 4 BATH EXHAUST <br /> APPLICANT MECHANICAL 306.25 <br /> ECO AIR INC. STATE SURCHARGE MECH(VALUATION) 12.25 <br /> 16820 HIGHWAY 10 <br /> ELK RIVER,MN 55330- MAIL-IN FEE 2.00 <br /> (763)413-7831 MISC FEE 0.00 <br /> TOTAL 320.50 <br /> OWNER <br /> MARHULA,DAREN <br /> 2100 SHADYWOOD RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pem►it 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 /> permiu. 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 consVuction 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.This permit may be <br /> revoked at any time for due cause. <br /> �o l O 7 / ��I l l <br /> pplicant Permitee Signature Date Issued B gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A O <br />