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� CITY OF ORONO PERMIT NO.: 2009-00444 <br /> � f 2750 KELLEY PARKWAY <br /> I ORONO,MN 55356- DATE ISSUED: 07/28/2009 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADD �SS : 3050 SUSSEX RD <br /> PIN : 04-117-23-32-0010 <br /> LEG Ii D C : FOX BEND <br /> : LOT 004 BLOCK 001 <br /> PER �T PE : MECHANICAL(>$500) <br /> PRO �R TYPE : RESIDENTIAL <br /> CO S'�R TION TYPE : COOLING SYSTEMS <br /> VA �AT N : $ 5,000.00 <br /> NOT :; 1 NNOX 3.5 TON AC <br /> i <br /> APPLICANT <br /> MECHANICAL 62.50 <br /> G IZ- AN PLUMBING&HEAT <br /> 2 OQ HI HWAY 13 STATE SURCHARGE MECH(VALUATION) 2.50 <br /> B I�i ILLE,MN 55337 MAIL-IN FEE 2.00 <br /> ( �)7 -1000 TOTAL 67.00 <br /> OWNER <br /> F i�JSS HARLES&LINDA <br /> 3 5�0 S SEX RD <br /> �iG AKE,MN 55356 <br /> � <br /> REEMENT AND SWORN STATEMENT <br /> wo for which this permit is issued shall be performed according to <br /> app ved plans and specifications,applicable City approvals,and the <br /> te B Iding Code. This permit is for only the work described and does <br /> n gr permission for additional or related work which requires sepazate <br /> pe�mi . All provisions of laws and ordinances goveming this type of work <br /> stuall b ompied with whether or not specified herein.l'his permit will <br /> e�pire d become null and void if construction authorized is not <br /> �c mm ced within 180 days of the date of issuance,or if construction is <br /> spe d for a period of 180 days at any time after work has commenced. <br /> e a icant is responsible for assuring all required inspections are <br /> r8que d in conformance with the State Building Code.This permit may be <br /> r�vok at any time for due cause. <br /> ` �r / / / / <br /> I ppl t Permitee Signature Date Issued Si ature Date <br /> Y <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />