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CITY OF ORONO PERMIT NO.: 2008-00447 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- �ATE IssuEn: 12/12/2008 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1800 CONCORDIA ST <br /> PIN : 17-117-23-22-0025 <br /> LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK <br /> : LOT 024 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 4,000.00 <br /> NOTG: 1 RUUD GAS FURNACE <br /> APPLICANT <br /> MECHANICAL 50.00 <br /> RON'S MECHANICAL, INC. STATE SURCHARGE MECH (VALUATION) 2.00 <br /> 12010 OLD BRICK YARD ROAD <br /> SHAKOPEE, MN 55379 MAIL-IN FEE 1.50 <br /> (952)445-8585 TOTAL � 53.50 <br /> OWNER <br /> HANSEN, PAUL& KAREN <br /> 1800 CONCORDIA ST <br /> WAYZATA, MN 55391 <br /> ACREEMENT AND SWORN STATEMENT <br /> "Che work for which this permit is issucd shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Buildinb 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 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 pem�it may be <br /> revoked at any time for due caqse. <br /> `�-� c.►� i i DYK.�c--�' i i <br /> Applicant Permitee Signature Date Issued By Si ture Uate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB ABOVE. <br />