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� ` CITY OF ORONO PERMIT NO.: 2011-01285 <br /> � » " 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/20/2011 <br /> , 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1930 SHADYWOOD RD <br /> PIN : 17-117-23-24-0022 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 6,100.00 <br /> NOTE: 1 LENNOX NAT GAS FURNACE <br /> 1 LENNOX 2 TON AC <br /> APPLICANT MECHANICAL 76.25 <br /> MARSH HEATING&AIR COND STATE SURCHARGE MECH(VALUATION) 3.05 <br /> 6248 LAKELAND AVE N <br /> MINNEAPOLIS,MN 55428- MAIL-IN FEE 2.00 <br /> (763)536-0667 TOTAL 81.30 <br /> OWNER <br /> ELMQUIST,DAVID A <br /> 1930 SHADYWOOD RD <br /> ,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 petmit 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 consVuction 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 wit}Lthe State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � <br /> `�vt�t-c�P Lr- l l l l <br /> Applicant Permitee Signature Date Issued By Si ure e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />