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, CITY OF ORONO * z 0 1 3 - 0 � 1 B 1 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 03/19/2013 <br /> . � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2765 SHADYWOOD RD <br /> PIN : 21-117-23-24-0060 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0415 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> VALUATION : $ 11,000.00 <br /> NOTE: (2)GOODMAN HEATING AND COOLING SYSTEMS- <br /> APPLICANT MECHANICAL 137.50 <br /> RIES HEATING&A/C INC STATE SURCHARGE MECH(VALUATION) 5.50 <br /> 13986 ZUMBRO AVE <br /> SHAKOPEE,MN 55379- TOTAL 143.00 <br /> (952)445-5676 PAID WITH CC# 7034 <br /> OWNER <br /> RANDGAARD,THOMAS <br /> 1730 KENWOOD PKWY <br /> MINNEAPOLIS,MN 55405- <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 /> Sta[e 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 specitied 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 afrer 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 an e for ue cause. <br /> / / .�/ / <br /> pplican er it ignature D te ssue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. <br />