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1 <br /> � CITY OF ORONO PERMIT NO.: 2011-00386 <br />: , 2750 KELLEY PARKWAY <br /> R ORONO,MN 55356- DATE ISSUED: OS/24/2011 <br /> 952 249-4600 FAX: 952 249-4616 � <br /> ADDRESS : 290 HOLLANDER RD <br /> PIN : 25-118-23-43-0011 <br /> LEGAL DESC : HOLLY ACRES <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 3,925.00 <br /> NOTE: 1 LENNOX 3 TON AC <br /> APPLICANT MECHANICAL 50.00 <br /> SEDGWICK HEATING&A/C STATE SURCHARGE MECH(VALUATION) 1.96 <br /> 1408 NORTHLAND DR-SUITE 310 <br /> MENDOTA HEIGHTS,MN 55118- MAIL-IN FEE 5.04 <br /> (952)881-9000 MISC FEE 0.00 <br /> TOTAL 57.00 <br /> OWNER <br /> MAHAFFY,DALE&SUSAN <br /> 290 HOLLANDER RD <br /> WAYZATA,MN 55391 <br /> AGREEMENT AND SWORAI 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 separate <br /> permits. 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 nuil and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if consVuction 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 /> `�%1/l.ei.(�Q, � � � � <br /> Applicant Permitee Signature Date Issued By S' ature at <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />