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- CITY OF ORONO PERMIT NO.: 2009-00873 <br /> '� 2750 KELLEY PARKWAY <br />' ORONO, MN 55356- DATE ISSUED: 12/03/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2208 SHADYWOOD RD <br /> PIN : 17-117-23-42-0005 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 012 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 5,500.00 <br /> NOTE: 1 BRYANT NAT GAS FURNACE <br /> 1 BRYANT 2.5 TON AC <br /> APPLICANT MECHANICAL 68.75 <br /> COUNTRYSIDE HEATING&COOLING STATE SURCHARGE MECH(VALUATION) 2.75 <br /> 6511 HWY 12 TOTAL 71.50 <br /> MAPLE PLAIN,MN 55359 <br /> (763)479-1600 <br /> OWNER <br /> BENNETT,BARRY&MARY <br /> 2208 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.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 aRer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested' wnforman e with the State Building Code.This permit may be <br /> revoked y time o d e cause. <br /> �-s �l 3 / C'J ` l l <br /> Applicant Permitee Signature Date Issued ignature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV <br />