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� CITY OF ORONO * 2 0 1 3 - 0 0 3 7 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/17/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 860 FOREST ARMS LA <br /> PIIY : 07-117-23-12-0006 <br /> LEGAL DESC : FOREST ARMS <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 1,500.00 <br /> NOT�: 1 RUUD 2.5 TON AC <br /> APPLICANT MECHAMCAL 50.00 <br /> SHARP HEATING&AIR COND INC. STATE SURCHARGE MECH (VALUATION) 0.75 <br /> 7221 LJNIVERSITY AVE NE <br /> FRIDLEY, MN 55432 MAIL-IN FEE 2.00 <br /> (763)572-0459 TOTAL 52.75 <br /> OWNER <br /> SORENSEN, MR. & MRS. <br /> 860 FOREST ARMS LA <br /> MOUND, MN 55364- <br /> AGREEMEIYT AND SWORN STATEMENT <br /> Che work tbr���hich this permit is issued shall be performed according to <br /> the approvcd plans and specifications,applicable City approvals,and thc <br /> Sta[e Building Code. "fhis permit is for only the work described and does <br /> not grant permission for addi[ional 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 no[specitied 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 /> � <br /> revoked at any time for due cause. <br /> � �� / / / / <br /> Applicant Permitee Signature Date Issued By Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />