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i <br /> '' CITY OF ORONO PERMIT NO.: 2011-00414 <br /> 'i , 2750 KELLEY PARKWAY <br /> I�` ORONO,MN 55356- DATE ISSUED: 06/02/2011 <br /> � � 952 249-4600 FAX: 952 249-4616 <br /> ' � DRESS : 3120 SUSSEX RD <br /> iJ� N : 04-117-23-32-0009 <br /> I GAL DESC : FOX BEND <br /> � � : LOT 003 BLOCK 001 <br /> I ; RMIT TYPE : MECHANICAL(>$500) <br /> � OPERTY TYPE : RESIDENTIAL <br /> ONSTRUCTION TYPE : HEATING SYSTEMS <br /> ALUATION : $ 7,825.00 <br /> OTE: 1 TRIANGE TUBE BOILER NATURAL GAS <br /> i <br /> � <br /> � <br /> APPLICANT MECHANICAL <br /> 97.81 <br /> PEAK HEATING&COOLING,INC. STATE SURCHARGE MECH(VALUATION) 3.91 <br /> 7801 PARK DR. TOTAL 101.72 <br /> CHANHASSEN,MN 55317 <br /> (.952)401-1195 <br /> - OWNER <br /> ANDERSON,BRETT&STEPHANIE <br /> 3120 SUSSEX RD <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shalf 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 aad 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 pertnit will <br /> '.expire and become null and void if wnstruction authorized is not <br /> �commenced within 180 days of the date of issuance,or if construction is <br /> isuspended for a period of 180 days at any time after work has commenced. <br /> rThe applicant is responsible for assuring all required inspections aze <br /> 7equested in conformance with the State Building Code.This permit may be <br /> _revoked at any time for due cause. <br /> " � /( i i <br /> Applicant Permitee ' ture Date Issued By i nature Date <br /> ` SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br /> ; <br />