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CITY OF ORONO PERMIT NO.: 2011-00695 <br /> • 2750 KELLEY PARKWAY <br /> ` ORONO,MN 55356- DATE ISSUED: 07/2U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2805 SOMERSET LA <br /> PIN : 04-117-23-21-0014 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN <br /> : LOT 004 BLOCK 004 <br /> PERMTT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 5,245.00 <br /> NOTE: 1 LENNOX 5 TON AC XC14-060 <br /> APPLICANT MECHANICAL 65.56 <br /> SEDGWICK HEATING&A/C STATE SURCHARGE MECH(VALUATION) 2.62 <br /> 1408 NORTHLAND DR-SUITE 310 <br /> MENDOTA HEIGHTS,MN 5511& MAIL-IN FEE 4.38 <br /> (952)881-9000 MISC FEE 0.00 <br /> TOTAL 72.56 <br /> OWNER <br /> JAHN,MARK&MICHELLE <br /> 2805 SOMERSET LA <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 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 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 time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issu By nature a e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED A <br />