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. — . CITY OF ORONO PERMIT NO.: 2o�aoo4os <br /> , 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/OU2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2920 SOMERSET LA <br /> PIN : 04-117-23-21-0012 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN <br /> : LOT 005 BLOCK 003 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATIQN : $ 3,500.00 <br /> APPLICANT MECHANICAL 50.00 <br /> FLARE HEATING&AIR COND STATE SURCHARGE MECH(VALUATION) 1.75 <br /> 9309 PLYMOUTH AVE N <br /> SUITE 104 MAIL-IN FEE 2.00 <br /> GOLDEN VALLEY,MN 55427 MISC FEE 0.00 <br /> (763)542-1166 TOTAL 53.75 <br /> OWNER <br /> FIRST,LANCE&MEREDITH <br /> 2920 SOMERSET LA <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORI�i 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 /> permits. Atl 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 causk. <br /> � <br /> `''yYt�'� Li�t l l � � <br /> Applicant Permitee Signature Date Issued y Si ture ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />