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, , CITY OF ORONO PERm►T No.: 2010-olin <br /> 27�0 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/02/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2805 CASCO POINT RD <br /> PIfY : 20-117-23-32-0015 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 125 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : HEATING SYSTEMS <br /> VALUATION : $ 7,530.00 <br /> NOTG: I[GA"1'ING SYSTF,M: <br /> LENNOX -MODEL SLP09U1[1 l OV60C- 1 12Q000 INPUT BTU'S, ]04,500 OUTPUT BTU'S <br /> APPLICANT MECHANICAL 94.13 <br /> SEDGWICK HEATING &A/C STATE SURCHARGE MECH (VALUATION) 5.00 <br /> 1408 NORTHLAND DR- SUITE 310 <br /> MENDOTA HEIGHTS, MN 55118- MAIL-[N FEE 0.77 <br /> (952) 881-9000 TOTAL 99.90 <br /> OWNER <br /> FROMMELT, ROGER <br /> 2805 CASCO PT RD <br /> VVAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The N°ork for�+�hich this permit is issued shall be performed according to <br /> the approved plans and specitications,appiicable City approvals,and the <br /> State Building Codc. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires scparatc <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 ifconstruction authorized is not <br /> commenced within I 80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time a�ter work has commenced. <br /> "Che applicant is responsible for assuring all required inspections are <br /> requcsted in conlormance with the State Building Codc.This permit may be <br /> revoked at any time for due cause. <br /> C���l�-C�-e� ��l D a—1 /� ��. p�/ �� <br /> Applicant Permitee Signature Date Issu 13y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />