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CITY OF ORONO * Z 0 1 7 - 0 0 2 3 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/13/2017 <br /> .. ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2800 SHADYWOOD RD <br /> PIN : 21-117-23-13-0023 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1 196 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 13,125.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> NEW: IN-FLOOR HEATING SYSTEM(HTP) <br /> APPLICANT MECHANICAL 164.06 <br /> STATE SURCHARGE MECH(VALUATION) 6.56 <br /> HEATED FLOOR SYSTEMS INC. TOTAL 170.62 <br /> 150 GRENADIER AVE.N. <br /> OAKDALE, MN 55128- Payment(s) <br /> CHECK 8848 170.62 <br /> (651)739-7787 <br /> Minnesota State License#: mech-MB003193 <br /> OWNER <br /> BERGH, HANS&SHARON <br /> 2800 SHADYWOOD RD <br /> EXCELS[OR, MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> Ihe approved plans and specifica[ions,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 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 conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ,1 ;, �,� 1�� -� <br /> <, <;c�����-_ 1 f _ �_� -i `;� - �� :-� �� _.� <br /> 1 a,,,-,� � .r�— " { <br /> ���l�pp icant Permitee Signature Date Issued By Signature Date <br />