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CITY OF ORONO PERMIT NO.: 2011-00379 <br /> 2750 KELLEY PARKWAY <br /> � ORONO,MN 55356- DATE ISSUED: 05/23/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1399 PARK DR <br /> PIN : 07-117-23-42-0012 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 016 BLOCK 006 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 4,100.00 <br /> NOTE: 1 MITSUBISHI DUCT FREE 2 TON AC <br /> APPLICANT MECHANICAL 51.25 <br /> STAFFORD HOME SERVICE INC. STATE SURCHARGE MECH(VALUATION) 2.05 <br /> 6225 CAMBRIDGE STREET <br /> ST LOUIS PARK,MN 5541Cr MAIL-IN FEE 2.00 <br /> (952)927-7194 MISC FEE 0.00 <br /> TOTAL 5530 <br /> OWNER <br /> SIGEL, STEVEN&SHEILA <br /> 1399 PARK DR <br /> MOUND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> The wotk 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 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 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 are <br /> requested in conformance with the'State Building Code.This permit may be <br /> revoked at any tim/��cause. <br /> � � � / ; / <br /> Applicant Permitee Signature Date Issued By Si ture ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br />