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� ' CITY OF ORONO PERMIT NO.: 2009-oo�s3 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 11/04/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1998 SHADYWOOD RD <br /> PIN : 17-117-23-24-0028 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 041 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 5,150.00 <br /> NOTE: HEATING SYSTEM <br /> BURNHAM-MODEL P204H <br /> NATURAL GAS <br /> 96,000 INPUT BTU'S <br /> APPLICANT MECHANICAL 64.38 <br /> WILLIAM F.RIDLER PLBG&HEATING STATE SURCHARGE MECH(VALUATION) 2.58 <br /> 2908 HARRIET AVE S <br /> MINNEAPOLIS,MN 55422- MAIL-IN FEE 2.00 <br /> (612)827-4674 TOTAL 68.96 <br /> PAID WITH CC# 4750 <br /> OWNER <br /> TRUSTEE,JANET SOLTAU <br /> 1998 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 /> pertnits. 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 consVuction 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��.�� ��,0 51 � 9 ��, o�o <br /> Applicant Permitee Signat • Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />