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CITY OF ORONO PERMIT NO.: 2010-00594 <br /> 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- �ATE ISSUEn: 07/20/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2875 DEER RUN TR <br /> PIN : 04-117-23-24-0009 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN <br /> : LOT 002 BLOCK 004 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 6,350.00 <br /> NOTE: (1)HRV300-LENNOX AIR TO AIR EXCHANGER <br /> (1)CARRIER APA5048-4-TON COOLING SYTEM <br /> APPLICANT <br /> MECHANICAL 79.38 <br /> SABRE HEATING& AIR COND INC. STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 3062 RANCHV[EW LN N <br /> PLYMOUTH, MN 55447 MAIL-IN FEE 2.00 <br /> (763)473-2267 TOTAL 8638 <br /> PAID WITH CC# 1207 <br /> OWNER <br /> ROBBINS, MARK&CHRISTINE <br /> 2875 DEER RUN TR <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 /> no[grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permi[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 applican[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 /> �,��v�s"� �/Y�. / / / / <br /> Applicant Permitee Signature Date Issued By i nature <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOV <br />