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� CITY OF ORONO PERMIT NO.: 2009-000g3 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 03/i U2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3200 NORTH SHORE DR <br /> PIN : 08-117-23-41-0001 <br /> LEGAL DESC : UNPLATTED 08 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 2,232.00 <br /> NOTE: EXISTING HEATING SYSTEM-RELOCATE 2 SUPPLY AIR REGISTERS ON 2ND FLOOR <br /> I BATH EXHAUST <br /> 2 OTHER FANS(AIR EXCHANGER) <br /> APPLICANT MECHANICAL 50.00 <br /> STATEWIDE GAS SERVICES STATE SURCHARGE MECH(VALUATION) 1.12 <br /> 201 WEST MAIN TOTAL 51.12 <br /> MN 55387- <br /> (952)447-7185 <br /> OWNER <br /> HENDRICKSON,RICK& SHIRLEY <br /> 3200 NORTH SHORE 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 dces <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 specifted 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 I 80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoke at any time for due cause. <br /> ,�,,�„/ ��.�,,,,,.�, 3 � � c � n y o'�i / i Q <br /> Applicant Permitee Signature Date Is d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESGRIBED ABOVE. <br />