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CITY OF ORONO PERMIT NO.: 2011-00509 <br /> � 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: 06/23/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> AD ESS : 3120 SUSSEX RD <br /> PIN : 04-117-23-32-0009 <br /> LEG L DESC : FOX BEND <br /> : LOT 003 BLOCK 001 <br /> PER IT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CON�TRUCTION TYPE : FIREPLACE-GAS <br /> VAL ATION : $ 8,900.00 <br /> I <br /> � <br /> i <br /> i <br /> APPWCANT MECHANICAL 111.25 <br /> UTO ATIC GARAGE DOOR&FIREPLACE STATE SURCHARGE MECH(VALUATION) 4.45 <br /> 8 00 1 TH AVE N <br /> ITE 1000 TOTAL 115.70 <br /> HAM LIN, MN 55316 <br /> ( 63)5 1-2525 <br /> OWNER <br /> DE SON, BRETT& STEPHANIE <br /> 3 20 S SSEX RD <br /> L NG KE, MN 55356- <br /> AIGREEMENT AND SWORN STATEMENT <br /> 7' e worlQ for which this permit is issued shall be performed according to <br /> t e appr ed plans and specifications,applicable City approvals,and the <br /> S ate Bui ding Code. This permit is for only the work described and does <br /> n t grant rmission for additional or rela[ed work which requires separate <br /> p rmits. II provisions of laws and ordinances governing this type of work <br /> s all be c mpied with whether or not specified herein.This permit will <br /> e pire an become null and void if construction authorized is not <br /> c mmen d within I 80 days of the date of issuance,or if construction is <br /> s pende or a period of 180 days at any time after work has commenced. <br /> T e appli nt is responsible for assuring all required inspections are <br /> re uested i conformance with the State Building Code.This permit may be <br /> re oked a ny time for due cause. !� ��� <br /> ,��' —� �- � z� � j� � ,�- -� �' C��Q f/� � �i ����� <br /> A plica Permitee Signature Date Issued By Sig ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />