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CITY OF ORONO * z 0 1 4 - 0 0 B 3 1 * <br /> ' ' 2750 KELLEY PARKWAY DATE ISSUED: 08/04/2014 <br /> '� ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> AD ESS : 3115 SUSSEX RD <br /> �'[N : 04-117-23-32-0015 <br /> �.E L DESC : FOX BEND <br /> : LOT 004 BLOCK 002 <br /> PE IT TYPE : MECHANICAL(>$500) <br /> FR ERTY TYPE : RESIDENTIAL <br /> CO TRUCTION TYPE : COOLING SYSTEMS <br /> �i'A ATION : $ 2,500.00 <br /> I�OT TRANE COOLING SYSTEM-4 T01� <br /> APPLICANT MECHANICAL 50.00 <br /> RA ICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 1.25 <br /> 3�42 HADY OAK RD MAIL-IN FEE 2.00 <br /> OP S,MN 55343 TOTAL 53.25 <br /> 9S2) 3-1868 Payment(s) <br /> CREDIT CARD 0961 53.25 <br /> OWNER <br /> R SKOB,DANIEL DELMORE& <br /> 115 S SSEX RD <br /> QNG AKE,MN 55356- <br /> ' REEMENT AND SWORN STATEMENT <br /> h�wo for which this permit is issued shall be performed according to <br /> e iappr ed plans and specifications,applicable City approvals,and the <br /> tate B ing Code. This permit is for only the work described and does <br /> ot,gran ermission for additional or related work which requires sepazate <br /> rqnits. lI provisions of laws and ordinances goveming this type oFwork <br /> a�l be mpied with whether or not specified herein.This permit will <br /> pjre become null and void if consVuction authorized is not <br /> mmen d within 180 days of the date of issuance,or if construction is <br /> s spend for a period of 180 days at any time after work has commenced. <br /> e appl ant is responsible for assuring all required inspections are <br /> r queste n conformance with the State Building Code.This permit may be <br /> r vaked any time for due cause. <br /> � � O / /! <br /> plic Permitee Signatur Date Issu By ignature � Date <br />