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� • CITY OF ORONO PERMIT NO.: Zoiaoio9s <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE IssuEn: 1U08/2010 <br /> 952 249-4600 FAX: 952 249-46,,16 <br /> ADDRESS : 2855 SOMERSET LA <br /> PIN : 04-117-23-24-0020 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN <br /> : LOT 003 BLOCK 004 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION ; $ 8,000.00 <br /> NOTE: 1 BRYANT HEATING SYSTEM <br /> 1 BRYANT AC <br /> APPLICANT MECHANICAL 100.00 <br /> KLEVE HEATING&AIR STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 13075 PIONEER TRAIL <br /> EDEN PRAIRIE,MN 55347-6 MAIL-IN FEE 2.00 <br /> (952)941-4211 MISC FEE 0.00 <br /> TOTAL 107.00 <br /> OWNER <br /> KERNAN,EDWARD J <br /> 2855 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 does <br /> not grant permission for additional or related work which requires sepazate <br /> permiu. 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due ca s►�e. <br /> ���Q °'tti, / / / / <br /> Applicant Permitee Signature Date Issue By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />