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. •� <br /> CITY OF ORONO PERMIT NO.: 2010-00633 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUEn: 07/28/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2172 SHADYWOOD RD <br /> PIN : 17-117-23-42-0010 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL ,�,,(��� <br /> CONSTRUCTION TYPE : R#��3R�»-�PbF� l��`'�'�� S��""�"� <br /> VALUATION : $ 3,200.00 <br /> NOTE: (1) WIRSBO IN-FLOOR HEAT SYSTEM <br /> APPLICANT MECHANICAL 50.00 <br /> SABRE HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 3062 RANCHVIEW LN N TOTAL 55.00 <br /> PLYMOUTH,MN 55447 <br /> (763)473-2267 PAID WITH CC# 1207 <br /> OWNER <br /> DORE,STEVEN <br /> 8351 WEST 109TH STREET <br /> BLOOMINGTON,MN 55438- <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 Ciry approvals,and the <br /> State Building Code. This permit is for oniy 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 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 are <br /> requested in co rmance with the State Building Code.This permit may be <br /> revoked at me f d cause. <br /> c <br /> � � "'���'�v <br /> cant Permite ature Date Iss y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />