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� ' CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 7 - 0 0 2 9 5 * <br /> DATE ISSUED: 03/29/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2800 SHADYWOOD RD <br /> PIN : 21-117-23-13-0023 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1196 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 16,350.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> 1)BRYANT NATURAL GAS FURNACE <br /> 1)BRYANT A/C 4 TON <br /> 1)KITCHEN EXHAUST-600 CFM <br /> 3)BATH EXHAUST- 110 CFM <br /> GASLINE FOR DRYER AND COOKTOP <br /> APPLICANT MECHANICAL 204.38 <br /> STATE SURCHARGE MECH(VALUATION) 8.18 <br /> HEATING&COOLING TWO INC. MAIL-IN FEE 2.00 <br /> 18550 COUNTY ROAD 81 TOTAL 214.56 <br /> MAPLE GROVE,MN 55369- <br /> (763)42&3677 Payment(s) <br /> CREDIT CARD 4334 214.56 <br /> OWNER <br /> BERGH,HANS&SHARON <br /> 2800 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 pemtission for additional or related work which requires separate <br /> permits. All provisions of►aws 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 for due cause. <br /> �L � �j � � Z-`��l 7 <br /> Applicant Permitee Signature Date Issued B ignature Date <br />