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CITY OF ORONO PERMIT NO.: 2oos-000�4 <br /> t � 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISsuEn: 07/22/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2118 SHADYWOOD RD <br /> PIN : 17-117-23-42-0016 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 29,000.00 <br /> APPLICANT �CHANICAL 362.50 <br /> KLEVE HEATING&AIR STATE SURCHARGE MECH(VALUATION) 14.50 <br /> 6365 CARLSON DRIVE SUITE G <br /> EDEN PRIAIRE,MN 55346 MAIL-IN FEE 1.50 <br /> (612)941-4211 TOTAL 378.50 <br /> OWNER <br /> HANSSEN,PAUL&LEANN <br /> 2118 SHADYWOOD RD <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 /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.l'his 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 permit may be <br /> revoked at any time for due cause. <br /> `�►� � ' ' 7� �, �8 <br /> Applicant Permitee Signature Date Issued y Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED OVE. <br />