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' i CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 5 - 0 0 6 B 8 * <br /> DATE ISSUED: 06/OU2015 <br /> ORONO,MN 55356- <br /> . 952 249-4600 FAX: 952 249-4616 <br /> ADDRE S : 3160 SUSSEX RD <br /> PIN : 04-117-23-32-0008 <br /> LEGAL ESC : FOX BEND <br /> : LOT 002 BLOCK 001 <br /> PERMI TYPE : MECHANICAL(<$500) <br /> PROPE TY TYPE : RESIDENTIAL <br /> CONST UCTION TYPE : FIXTURE <br /> NOTE: ATER CLOSET <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> J&J ME HANICAL INC STATE SURCHARGE MECH(<$500) 5.00 <br /> 811 8TH REET,UNIT 11 MAIL-IN FEE 2.00 <br /> FARMIN TON,MN 55044- TOTAL 22.00 <br /> (651)724 973 Payment(s) <br /> Minnesota State License#:mech- CREDIT CARD 0479 22.00 <br /> OWNER <br /> CHENITZ RICHARD&PATRICIA <br /> 3160 SUS EX RD <br /> LONG L ,MN 55356- <br /> AG EMENT AND SWOR1�1 STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved lans and specifications,applicable City approvals,and the <br /> State Buildin Code. This permit is for only the work described and dces <br /> not grant pe ission for additional or related work which requires sepazate <br /> permits. All rovisions of Iaws and ordinances governing this type of work <br /> shall be com ied with whether or not specified herein.'Chis permit will <br /> expire and be me null and void if construction authorized is not <br /> commenced ithin 180 days of the date of issuance,or if construction is <br /> suspended fo a period of I80 days at any time after work has commenced. <br /> The applican is responsible for assuring all required inspections are <br /> requested in nformance with the State Building Code.This permit may be <br /> revoked at an time for due cause. <br /> �'�-t.,�..0 � d � � / / <br /> Applicant P rmitee Signature Date Issued S ature Date <br />