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.i <br /> � CITY OF ORONO * 2 0 1 6 - 0 0 8 5 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/20/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 560 SUSSEX CIR <br /> PIN : 04-117-23-32-0020 <br /> LEGAL DESC : FOX BEND <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 3,200.00 <br /> NOTE: REPLACE A/C , <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.60 <br /> AIR MECHANICAL,INC. MAIL-IN FEE 2.00 <br /> 16411 ABERDEEN ST NE <br /> HAM LAKE,MN 55304 TOTAL 53.60 <br /> (763)4347747 Payment(s) <br /> Minnesota State License#:mech-MB005122 CHECK 048067 53.60 <br /> OWNER <br /> WHITMAS,JAMES&RENATE <br /> 560 SUSSEX CIR <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 Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and dces <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 nu►I 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � <br /> ti°-1,� 7 �02�� !�o <br /> Applicant Permi ee Signature Date Issued B ignature Date <br />