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� � CITY OF ORONO PERMIT NO.: 2oos-oo26s <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/02/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2455 SHADYWOOD RD <br /> PIN : 20-117-23-11-0017 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 002 BLOCK 004 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 3,000.00 <br /> NOTE: (1)BATH EXHAUST-50 CFM-RELOCATE DIFFUSERS. <br /> APPLICANT MECHANICAL 37.50 <br /> THERMEX CORPORATION STATE SURCHARGE MECH(VALUATION) 1.50 <br /> 3529 RALEIGH AVE S <br /> ST LOUIS PARK,MN 55416 MAIL-IN FEE 1.50 <br /> (952)922-0606 TOTAL 40.50 <br /> OWNER <br /> ERIC ENGLUND,DDS <br /> 2455 SHADYWOOD RD <br /> NAVARRE,MN 55392- <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 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 tt►e 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any tim�for due cause. <br /> ���� / � Dl � lD <br /> Applicant Permitee Si re Date ssu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />