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� CITY OF ORONO PERMIT NO.: 2oos-oo3s5 <br /> � � 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE IssuEn: lUi3/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2745 SHADYWOOD RD <br /> PIN : 21-117-23-31-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO.0500 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 13,675.00 <br /> NOTE: <br /> 1 CARRIER GAS FURNACE <br /> 1 BRYANT 3 TON AC <br /> 1 HEATILATER HEAT&GLOW GAS FP <br /> 1 KITCHEN EXHAUST 6" <br /> 4 BATH FANS <br /> GAS LINES-OUTDOOR GRILL,LANTERNS,DRYER,RANGE <br /> APPLICANT MECHANICAL 170.94 <br /> AIR AMERICAN,INC. STATE SURCHARGE MECH(VALUATION) 6.84 <br /> 15580 240TH ST.N. TOTAL 177.78 <br /> SCANDIA,MN 55073- <br /> (651)433-5626 <br /> OWNER <br /> ZIMMERMAN,JAMES <br /> 2745 SHADYWOOD RD <br /> EXCELSIOR,MN 55331 <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 sepazate <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 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 fo ue caus . <br /> / " ( �� �� / / <br /> Ap icant ermitee Signa re Date Issued By S� ature Date <br /> PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESC BE ABOVE. <br />