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CITY OF ORONO PERMIT NO.: 2010-00841 <br /> 2750 KELLEY PARKWAY <br /> ` ` � ORONO, MN 55356- DATE ISSUEn: 09/14/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2605 NORTH SHORE DR <br /> PIN : 09-117-23-42-0002 <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 : $ 18,000.00 <br /> NOTE: 2 CARRIER HEATING SYSTEMS <br /> 1 FAN <br /> APPLICANT MECHANICAL 225.00 <br /> RONS MECHANICAL, INC. STATE SURCHARGE MECH(VALUATION) 9.00 <br /> 12010 OLD BRICK YARD ROAD <br /> SHAKOPEE,MN 55379 MAIL-IN FEE 2.00 <br /> (952)445-8585 MISC FEE 0.00 <br /> TOTAL 236.00 <br /> OWNER <br /> JEROME,MR.&MRS.JOHN <br /> 2605 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 <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 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 permit may be <br /> revoked at any time for due�Cause. <br /> �'1�41.6�.t.< <ih� / / / / <br /> Applicant Permitee Signature Date Issued By i ature e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />