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' � CITY OF ORONO PERMIT NO.: 2oiaooi6o <br /> ! 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 03/18/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1910 SHADYWOOD RD <br /> PIN : 17-117-23-24-0020 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 031 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIREPLACE-GAS <br /> VALUATION : $ 0.00 <br /> NOTE: HEAT N GLO 6000C GAS FP <br /> APPLICANT MECHANICAL 50.00 <br /> FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 0.50 <br /> 2700 FAIRVIEW AVE <br /> ROSEVILLE,MN 55113 MAIL-IN FEE 2.50 <br /> (651)633-2561 TOTAL 53.00 <br /> Minnesota State License#:20512060 <br /> OWNER <br /> MCMANUS,JAMES&MEGAN <br /> 1910 SHADYWOOD RD <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 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ��'Y(�l� �- l l � <br /> Applicant Permitee Signature Date Issued y i ature te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br />