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CITY OF ORONO * 2 0 1 2 - 0 0 4 3 B * <br /> �' 2750 KELLEY PARKWAY DATE ISSUED: 05/22/2012 <br /> � • ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1770 SHADYWOOD RD <br /> PIN : 17-117-23-21-0023 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 018 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 4,000.00 <br /> NOTE: 1 CARRIER 3.5 TON AC <br /> APPLICANT MECHANICAL 50.00 <br /> RONS MECHANICAL,INC. STATE SURCHARGE MECH(VALUATION) 2.00 <br /> 1812 OLD BRICKYARD RD. <br /> SHAKOPEE,MN 55379 MAIL-IN FEE 5.00 <br /> () TOTAL 57.00 <br /> OWNER <br /> O'DONOGHUE,DANIEL&SUE <br /> 1770 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 construction is <br /> suspended for a period of i 80 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 cadse. <br /> � <br /> �..��,�, _ _ t �r / / l l <br /> V Y�.Ow�. <br /> Applicant Permitee Signature Date Issued By Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED AB E. <br />