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iiiiiiiiiiiiiiiiiiiiiillillillillillillilliillim <br /> CITY OF ORONO * 2014 - 01195 * ' <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/15/2014 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 2480 OLD BEACH RD <br /> PIN : 21-117-23-22-0004 <br /> LEGAL DESC SHORE HILLS <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 4,785.00 <br /> NOTE: (1)ICP HEATING SYSTEM- 100,000 INPUT BTU'S <br /> APPLICANT MECHANICAL 59.81 <br /> SHC MECHANICAL INC. <br /> STATE SURCHARGE MECH(VALUATION) 2.39 <br /> TOTAL 62.20 <br /> 4728 BEDFORD ROAD Payment(s) <br /> MOUND, MN 55364- CHECK 5359 62.20 <br /> Minnesota State License#:mech-MB661890 <br /> OWNER <br /> MCDONALD,ROBERT&BRENDA <br /> 2480 OLD BEACH 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 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 permit may be <br /> rev a any time for due cause. <br /> A rmitee SignakLrDate I Issuy By Signature Date <br />