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CITY OF ORONO * z 0 1 2 - 0 0 5 2 0 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 06/12/2012 <br /> � ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2675 SHADYWOOD RD <br /> PIN : 21-117-23-24-0053 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1453 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHAN[CAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIVSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 7,000.00 <br /> NOTE: 1 HEATING SYSTEM(BRYANT),&1 COOLING SYSTEM(BRYANT) <br /> APPLICANT MECHANICAL 87.50 <br /> COUNTRYSIDE HEATING&COOLING <br /> 6511 HWY 12 STATE SURCHARGE MECH(VALUATION) 3.50 <br /> MAPLE PLAIN, MN 55359 TOTAL 91.00 <br /> (763)479-1600 <br /> OWNER <br /> HEGENES,GARY <br /> 2675 SHADYWOOD RD <br /> EXCELSIOR, MN 55331- <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 Quilding 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 construction is <br /> suspcnded for a period of 180 days at any[ime after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requeste � conforman with the State Building Code.This permit may be <br /> revoke a any time r u ause. <br /> � � � � r �. � -y-�c��-t �� (� � / �� <br /> ` � � i � <br /> Applicant Permi ee Signature Date Issued y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />