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CITY OF ORONO PERMIT NO.: 2oiaoo6ss <br /> 2750 KELLEY PARKWAY <br /> ' ORONO,MN 55356- DATE ISSUED: 08/10/2010 <br /> �� 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2715 PENCE LA <br /> PIN : 21-117-23-32-0007 <br /> LEGAL DESC : CARMAN BAY HEIGHTS <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 7,505.00 <br /> NOTE: 2 LENNOX 3 TON AC <br /> APPLICANT MECHANICAL 93.81 <br /> SEDGWICK HEATING&A/C STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 1408 NORTHLAND DR-SUITE 310 <br /> MENDOTA HEIGHTS,MN 55118- MAIL-IN FEE 0.75 <br /> (952)881-9000 TOTAL 99.56 <br /> OWNER <br /> SYNDER&SHERRYL STERN,STEVEN <br /> 2715 PENCE LA <br /> EXCELSIOR,MN 55331 <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. 1'his permit is for only the work described and dces <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 whetF►er ot 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 fo�due c'ause. <br /> �%�'"t''r v�'L, / / / / <br /> Applicant Permitee Signature Date <br /> Issued B gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />