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� <br /> . CITY OF ORONO PERMIT NO.: 2011-00399 <br /> " 2750 KELLEY PARKWAY <br /> , ORONO, MN 55356- DATE ISSUED: OS/27/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2695 DEER RUN TR E <br /> PIN : 04-117-23-13-0012 <br /> LEGAL DESC : CRYSTAL BAY PRESERVE <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIV TYPE : COOLING SYSTEMS <br /> VALUATION : $ 3,000.00 <br /> NOTE: 1 TCMPSTAR 4 TON AC <br /> APPLICANT MECHANICAL 50.00 <br /> VOGT HEATING&AIR COND STATE SURCHARGE MECH(VALUATION) 1.50 <br /> 3260 GORHAM AVE <br /> ST. LOUIS PARK, MN 55426- MAIL-IN FEE 2.00 <br /> (952)929-6767 MISC FEE 0.00 <br /> TOTAL 53.50 <br /> OWIVER <br /> SWENSON, CAROL <br /> 2695 DEER RUN TR E <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The���ork for ti�h�ch this permit is issued shall be performed according to <br /> the approved plans and specitications,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 separatc <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or no[specified herein.This permit will <br /> expire and become null and vofd if construction authorized is not <br /> commenced within 180 days ot'the date of issuance,or if consuuction 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�re <br /> requested in conformance with the State E3uilding Code.'fhis permit may be <br /> revoked at any time for due cause. <br /> �`%'K'"""'�, l�.� l l ������i(��(. l l <br /> Applicant Permitee Signature Date Issued By nature Date <br /> SEPARATE PERM[TS REQU[RED FOR WORK OTHER THAN DESCRIBED AB E. <br />