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CITY OF ORONO * z 0 1 7 - 0 1 1 6 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/09/2017 <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 : SOLAR ENERGY SYSTEMS <br /> VALUATION : $ 32,218.00 <br /> NOTE: SOLAR PANELS <br /> APPLICANT MECHAMCAL 402.73 <br /> ALL ENERGY SYSTEMS STATE SURCHARGE(VALUATION) 16.11 <br /> 1642 CARROLL AVE MAIL-IN FEE 2.00 <br /> ST PAUL, MN 55104- TOTAL 420.84 <br /> (651)888-4173 Payment(s) <br /> Minnesota State License#:mech-BC665819 CREDIT CARD 3458 420.84 <br /> OW ivER <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 acwrding to <br /> [he 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 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 /> ��1/LC_C�.-�.-�e c� ,� � � ' l� l cI l / � <br /> Applicant Permitee Signature Date [ssued B ignature Date <br />