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• " CITY OF ORONO * Z 0 1 3 - 0 1 0 1 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/27/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2010 SHORELINE DR <br /> PIN : 10-117-23-31-0001 <br /> LEGAL DESC : LJNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 5,700.00 <br /> NOTE: (1)TRANE FURNACE AND A/C <br /> APPLICANT MECHANICAL 71.25 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 2.85 <br /> 4342 B SHADY OAK RD <br /> HOPKINS,MN 55343 MAIL-IN FEE 2.00 <br /> (952)933-1868 TOTAL 76.10 <br /> PAID WITH CC# 0961 <br /> OWNER <br /> HUDSON-WINER,MICHELLE <br /> 2010 SHORELINE DR <br /> WAYZATA,MN 55391- <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 separate <br /> permits. All provisions of laws and ordinances goveming 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 ause. <br /> C � � � � �a�� i3 �a� ��3 <br /> Applicant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />