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CITY OF ORONO * Z QJ 1 3 — 0 0 1 6 9 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 03/19/2013 <br /> , ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 951 SPRING HILL RD <br /> PIN : 26-118-23-44-0002 <br /> LEGAL DESC : UNPLATTED 26 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : �-MULTIPLE n'lD-C�I'`� <br /> VALUATION : $ 10,122.00 <br /> NOTE: INSTALL LENNOX FURNACE&A/C <br /> APPLICANT MECHANICAL 126.53 <br /> SEDGWICK HEATING&A/C STATE SURCHARGE MECH (VALUATION) 5.06 <br /> 1408 NORTHLAND DR-SUITE 310 <br /> MENDOTA HEIGHTS, MN 55118- MAIL-IN FEE 2.00 <br /> (952)881-9000 TOTAL 133.59 <br /> OWNER <br /> PASTEL ET AL TRUST,JOANNE M <br /> 951 SPRING HILL RD <br /> WAYZATA, MN 55391- <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 pertnission 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for�le cause. <br /> `�'li�t.c.Q C� / / G�'Y►(,�—r(_ l l <br /> Applicant Permitee Signature Date [ssued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br />