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r -. * <br /> CITYOFORONO * 2016 - 00850 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/20/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: 952)249-4616 <br /> ADDRESS : 2990 SOMERSET LA <br /> PIN : 04-117-23-21-0011 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN <br /> : LOT 004 BLOCK 003 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 3,500.00 <br /> NOTE: REPLACE A/C <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.75 <br /> RONS MECHANICAL,INC. MAIL-IN FEE 2.00 <br /> 1812 OLD BRICKYARD RD. <br /> SHAKOPEE,MN 55379 TOTAL 53.75 <br /> �� Payment(s) <br /> , CHECK 13425 53.75 <br /> � <br /> OWNER <br /> BUNDY,MICHAEL <br /> 2990 SOMERSET LA <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfoRned according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This pertnit 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 acid 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 /> • , .�� / /�rJ <br /> Applicant Permitee Signature Date Iss ignature Date <br />