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CITY OF ORONO PERMIT NO.: 20�2-000�3 <br /> � 2750 KELLEY PARKWAY <br /> . <br /> ORONO,MN 55356- DATE ISSUED: OU04/2012 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1750 SHADYWOOD RD <br /> PIN : 17-117-23-21-0021 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 016 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 1,034.00 <br /> NOTE: 1 RUUD NAT GAS FURNACE <br /> APPLICANT �CHANICAL 50.00 <br /> SHARP HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 0.52 <br /> 7221 UNIVERSITY AVE NE <br /> FRIDLEY,MN 55432 MAIL-IN FEE 2.00 <br /> (763)572-0459 MISC FEE 0.00 <br /> TOTAL 52.52 <br /> OWNER <br /> SHAW,GRETCHEN <br /> 1750 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. 1'his 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 aze <br /> requested in conformance with the State Building Code.This pertnit may be <br /> revoked at any time for due cause. <br /> `"�VI.�, (�tV i i � <br /> Applicant Permitee Signature Date Issued B 'gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />