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CIT� OF ORONO PERMIT NO.: 2011-00183 <br /> � � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �AT� �ssuE�: 03/3U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2245 SHADYWOOD RD <br /> PIN : 17-117-23-43-0128 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 2,500.00 <br /> APPLICAIYT MECHANICAL 50.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUATION) 5.00 <br /> 4342 B SHADY OAK RD <br /> HOPKINS, MN 55343 TOTAL 55.00 <br /> (952)933-1868 <br /> OWNER <br /> CONNORS, PAUL W& KATHLEEN F <br /> 2245 SHADYWOOD RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> "I�he work for which this permit is issued shall be perfomied according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State F3uilding Code. This permit is for only�he work described and does <br /> not grant permission for additional or rclatcd���ork���hich requires scparatc <br /> permits. All provisions of laws and ordinances govcrning this type of���ork <br /> shall be compicd�vith�rhether or not specitied herein.'1'his permit will <br /> expire and become null and void if construction authorized is not <br /> commenced�a�ithin 180 days of the date of issuance,or if construction is <br /> suspended tor a period of 180 days at any time after work has commenced. <br /> �he applicant is responsihle for assurine all required i�ispectiuns are <br /> requested.�n conformance with the State Building Code.This permit may be <br /> revoked a�any time for_due cause. � _ <br /> f, ,, �� � - ;��' � /� <br /> '� �3 I � � ,,��. �c. c�c �� <br /> � � � i i <br /> Appl���l'er it ignat e Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />