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'" CITY OF ORONO * Z 0 1 6 — 0 0 7 7 9 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 07/06/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3120 SUSSEX RD <br /> PIN : 04-117-23-32-0009 <br /> LEGAL DESC : FOX BEND <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : COOLING SYSTEMS <br /> VALUATION : $ 9,752.00 <br /> NOTE: REPLACE COOLING SYSTEM(CARRIER) <br /> APPLICANT MECHANICAL 121.90 <br /> STATE SURCHARGE MECH(VALUATION) 4.88 <br /> PEAK HEATING&COOLING, INC. TOTAL 126.78 <br /> 7801 PARK DR. Payment(s) <br /> CHANHASSEN,MN 55317 CHECK 7253 126.78 <br /> (952)401-1195 <br /> Minnesota State License#:mech-MB003156 <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 shall 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 and does <br /> not grant permission for addi[ional 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 permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> sus ended for a period of 180 days at any time after work has commenced. <br /> Th plicant is responsible for assuring all required inspections are <br /> req e ed in confor nce with th S e ilding Code.This permit may be 1 %) <br /> revo e at any time f due caus _ �� <br /> , . <br /> ;,,�Gc �:1 (!.. t t `r ; �' `� , ,� : � /�" <br /> Applic t Per �ee Sig ture Date Issued By Sig ature Date <br /> � <br />