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CITY OF ORONO * Z 0 1 3 - 0 0 4 2 1 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 05/28/2013 <br /> ORONO,MN 55356- <br /> • (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2102 SUGARWOOD DR <br /> PIN : 34-118-23-21-0021 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 002 BLOCK 004 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 3,627.00 <br /> NOTE: 1 ARMSTRONG 5 TON AC <br /> APPLICANT MECHANICAL 50.00 <br /> SEDGWICK HEATING&A/C STATE SURCHARGE MECH(VALUATION) 1.81 <br /> 1408 NORTHLAND DR- SUITE 310 <br /> MENDOTA HEIGHTS,MN 55118- MAIL-IN FEE 2.00 <br /> (952)881-9000 TOTAL 53.81 <br /> OWNER <br /> JASPER,THOMAS F&JENNIFER J <br /> 2102 SUGARWOOD DR <br /> LONG LAKE,MN 55356- <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 /> / / / / <br /> Applicant Permitee Signature Date Issue By nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED ABOVE. <br />