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CITY OF ORONO PERMIT NO.: 2009-00816 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssuEn: 1U16/2009 <br /> • 952 249-4600 FAX: 952 249-4616 <br /> ADQRESS : 2100 SHADYWOOD RD <br /> PIN � : 17-117-23-31-0041 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 030 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 2,600.00 <br /> NOTE: GAS FIREPLACG&GAS LINE FOR 2 GAS TORCHES <br /> APPLICANT MECHANICAL 50.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUAT[ON) 1.30 <br /> 4342 B SHADY OAK RD TOTAL 51.30 <br /> HOPKINS, MN 55343 <br /> (952)933-1868 <br /> OWNER <br /> MARHULA, DAREN <br /> 2100 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 pennission for additiona]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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> reque ted in confor nce with the State Building Code.This permit may be `/ <br /> revoke at any time f�r due cau e.�� � I _����� <br /> / //// <br /> �.` ;�� ✓ ,� � / �� / �,� `� � �� .�.. <br /> d, i i <br /> App ' ermitee Si nature Date Issued By ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />