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, � CITY OF ORONO * Z 0 1 4 - P1 1 0 3 1 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 09/11/2014 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2240 SHADYWOOD RD <br /> PIN : 17-117-23-42-0001 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 9,000.00 <br /> NOTE: REAPLACEMENT FURNACE AND A/C <br /> APPLICANT MECHANICAL 112.50 <br /> STATE SURCHARGE MECH(VALUATION) 4.50 <br /> FREEMAN,CHRISTINE TOTAL 117.00 <br /> 2240 SHADYWOOD RD Payment(s) <br /> WAYZATA,MN 55391- CHECK 13822 117.00 <br /> OWNER <br /> FREEMAN,CHRISTINE <br /> 2240 SHADYWOOD RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this perrnit 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 sepazate <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 l80 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 /> L�/'/iv�.�(.r� � l� l <br /> Applicant Permitee Signature Date Is d By Signature Date <br />