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CITY OF ORONO PERMIT NO.: 20��-0012� <br /> ` 2750 KELLEY PARKWAY r <br /> ,� ORONO,MN 55356- DATE IssuED: 02/24/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2256 SHADYWOOD RD <br /> PIN : 17-117-23-43-0125 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 13,000.00 <br /> NOTE: 1 CARRIER NATURAL GAS FURNACE <br /> 1 CARRIER 2 TON AC <br /> APPLICANT MECHANICAL 162.50 <br /> ACTION HEATING&AIR STATE SURCHARGE MECH(VALUATION) 6.50 <br /> 8140 ARTHUR STREET NE-SUITE <br /> SPRING LAKE PARK,MN 55432 TOTAL 169.00 <br /> (763)780-0844 PAID WITH CC# 0625 <br /> OWNER <br /> BURKE,FORREST&RENEE <br /> 2256 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 /> 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 180 days of the date of issuance,or if constr n is <br /> suspended for a period of 180 days at any time after work h menced. <br /> The applicant is respo ble for assuring all re � d inspe ns aze <br /> requested in confo ce with the State ng Code is permit may be <br /> revoked at any ' for du ause. <br /> / / / / <br /> App ' ant P ' ee Signature Date Issued By S' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />