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CITY OF ORONO * 2 PJ 1 3 - B PJ 1 1 7 * <br /> , 2750 KELLEY PARKWAY DATE ISSUEll: 02/20/2013 <br /> ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1670 SHADYWOOD RD <br /> PIN : 17-117-23-21-OO15 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIYSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 6,000.00 <br /> NOTE: 1 I(EATING SYSTEM&2 COOLING SYSTEMS <br /> APPWCANT MECHANICAL 75.00 <br /> PRACT[CAC, SYSTEMS STATE SURCHARGE MECH (VALUATION) 3.00 <br /> 4342 B SHADY OAK RD <br /> HOPKINS, MN 55;43 TOTAL 78.00 <br /> (952)933-1868 <br /> OWNER <br /> KIELLEY, DONALD&ARLENE <br /> 1670 SHADYWOOD RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMEIYT <br /> "Che work for which this pennit is issued shall be performcd accordinb to <br /> thc approved plans and specifications,applicable City approvals,and the <br /> State Building Code. "I his permit is for only the work describcd and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this rype of work <br /> shall be compied with whether or not specified herein."Chis permit will <br /> expire and become null and void if construction authorized is no[ <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended Yor a period of 180 days at any time after work has commenced. <br /> The applicant is responsible Yor assiuing all required inspections are <br /> req � on�rmance with the State Building Code.This permit may be �� <br /> re ked at e for duc cause. <br /> �_ �— � , . ^ . <br /> � �� .-l. �,�- � c' ('r1't<r;�� � �i_ v�G' . � <br /> Applicant Pe itee Signature Date Issued By Sig ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />