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CITY OF ORONO PERMIT NO.: 20��-00402 <br /> - 2750 KELLEY PARKWAY <br /> :r ' ORONO,MN 55356- DATE ISSUED: OS/3U2011 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> A DIRE : 3120 SUSSEX RD <br /> P � : 04-117-23-32-0009 <br /> L �AL ESC : FOX BEND <br /> ' : LOT 003 BLOCK 001 <br /> PE �VII YPE : MECHANICAL(>$500) <br /> P PE Y TYPE : RESIDENTIAL <br /> � C NIST CTION TYPE : DUCT WORK <br /> ' V tJA ON : $ 3,500.00 <br /> NO �: 2 ATH EXHAUST <br /> 2 F PL E GASLINES <br /> � <br /> ! <br /> i <br /> APPLICANT MECHANICAL 50.00 <br /> TH MPS PLUMBING STATE SURCHARGE MECH(VALUATION) 1.75 <br /> 150 1 M ETONKA IND RD <br /> M ET KA,MN 55345 MAIL-IN FEE 2.00 <br /> (952 933- 17 MISC FEE 0.00 <br /> TOTAL 53.75 <br /> OWNER <br /> AN �tS ,BRETT& STEPHANIE <br /> �120 S�,JS X RD <br /> LON LA ,MN 55356- <br /> AlG EMENT AND SWORN STATEMENT <br /> The rlk for hich this permit is issued shall be performed according to <br /> the ap roved ans and specifications,applicable City approvals,and the <br /> State ujldin ode. This permit is for only the work described and does <br /> not gr t pe sion for additional or related work which requires sepazate <br /> permi . All visions of laws and ordinances goveming this type of work <br /> shall aomp d with whether or not specified herein.This permit will <br /> expire and be me null and void if construction authorized is not <br /> comm nCed i in 180 days of the date of issuance,or if construction is <br /> suspe eti for period of 180 days at any time after work has commenced. <br /> The a I' ant responsible for assuring all required inspections are <br /> reques e �n c formance with the State Building Code.This permit may be <br /> revok t an ime for due cause. <br /> ...' / / / / <br /> .�lppli ailt P itee Signature Date Issued Signature Date <br /> � ` SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. <br />