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CITY OF ORONO PERMIT NO.: 2011-00494 <br /> 2750 KELLEY PARKWAY <br /> . ORONO, MN 55356- DATE�SSUEn: 06/20/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> REPRINTED ON 6/27/2011 <br /> ADDRESS : 2465 NORTH SHORE DR <br /> PIIY : 09-117-23-44-0002 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 50,000.00 <br /> NOTE: (1)TRIANGLETUBE BOILER HEATING SYSTEM-DOMESTIC 1-IOT WA7'ER AND POOL <br /> (4)LENNOX COOLING SYSTEMS <br /> (2)BATH EXHAUST-80 CFM <br /> (1)FAN-700 CFM <br /> APPLICANT MECHANICAL 625.00 <br /> OWENS COMPANIES, INC. STATE SURCHARGE MECH (VALUATION) 25.00 <br /> 930 EAST 80TH STREET <br /> BLOOMINGTON, MN 55420- MAIL-IN FEE 2.00 <br /> (952) 854-3800 TOTAL 652.00 <br /> PA[D WITH CC# 7497 <br /> OWNER <br /> LINDAHL, MR. &MRS. JOHN <br /> 2465 NORTH SHORE DR <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to f <br /> [he approved plans and specifications,applicable City approvals,and the C{ <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 GL-`" <br /> permi[s. All provisions of laws and ordinances governing this type of work / -�� <br /> shall be compied with whether or not specitied herein.This permit will �l.� <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 S[ate Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />