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w •� <br /> CITY OF ORONO * Z 0 1 4 - 0 0 2 4 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/28/2014 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 480 SUSSEX LA <br /> PIN : 04-117-23-31-0013 <br /> LEGAL DESC : FOX BEND <br /> : LOT 002 BLOCK 003 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 5,724.00 <br /> NOTE: (1)YORK 5 TON A/C UNIT <br /> APPLICANT MECHANICAL 71.55 <br /> STATE SURCHARGE MECH(VALUATION) 2.86 <br /> STANDARD HEATING&AIR CONDITIONING MAIL-IN FEE 2.00 <br /> 130 PLYMOUTH AVENUE N. <br /> MINNEAPOLIS,MN 55411- TOTAL 76.41 <br /> 612-824-2656 Payment(s) <br /> CHECK 45998 76.41 <br /> OWNER <br /> MCMILLAN,WILLIAM&MARY <br /> 480 SUSSEX LA <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 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 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 asswing 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 /> C � �� � ���� � �� �� i <br /> Applicant Permitee Signature Date Issu By Signature Date <br />