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i <br /> CITY OF ORONO PERMIT NO.: 2009-00070 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 02/17/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 1065 TAMARACK DR <br /> PIN 26-118-23-31-0018 <br /> LEGAL DESC UNDERHILL FARM SECOND ADDITION <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE HEATING SYSTEMS <br /> VALUATION $ 7,484.00 <br /> NOTE: <br /> HEATING SYSTEM-LENNOX MODEL#G7INIPP36CO90-GAS-90,000 INPUT BTU'S 72,000 OUTPUT BTU'S <br /> APPLICANT MECHANICAL 93.55 <br /> SEDGWICK HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 3.74 <br /> 8910 WENTWORTH AVE S <br /> MINNEAPOLIS,MN 55420- MAIL-IN FEE 2.00 <br /> (612)881-9000 TOTAL 99.29 <br /> OWNER <br /> NO KNOWN OWNER <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 /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issuedty Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />