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� �"' CITY OF ORONO PERMIT NO.: 2oiaooaas • <br /> 2750 KELLEY PARKWAY � <br /> ORONO,MN 55356- DATE ISSUED: 06/10/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2990 SUSSEX RD <br /> PIN : 04-117-23-31-0014 <br /> LEGAL DESC : FOX BEND <br /> : LOT 003 BLOCK 003 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 16,000.00 <br /> NOTE: 2 LENNOX NATURAL GAS FURNACES <br /> 2 LENNOX AIR CONDITIONERS <br /> APPLICANT MECHANICAL 200.00 <br /> KLEVE HEATING&AIR STATE SURCHARGE MECH(VALUATION) 8.00 <br /> 13075 PIONEER TRAIL <br /> EDEN PRAIRIE,MN 55347-6 MAIL-IN FEE 2.00 <br /> (952)941-4211 MISC FEE 0.00 <br /> TOTAL 210.00 <br /> OWNER <br /> KELLY,JUSTIN&SUSAN <br /> 2990 SUSSEX RD <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 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 consWction 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 /> v�l'�(� V1N l l l l <br /> Applicant Permitee Signature Date Issued By nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />