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• ��-, CITY OF ORONO * 2 0 1 6 - 0 1 2 3 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2016 <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 <br /> PROPE TY TYPE : RESIDENTIAL <br /> CONST UCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUA ION : $ 9,700.00 <br /> NOTE: LL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)BRYA T NATURAL GAS FURNACE <br /> (1)BRYA T A/C-5 TONS <br /> APPLICANT MECHANICAL 121.25 <br /> STATE SURCHARGE MECH(VALUATION) 4.85 <br /> HEATIN &COOLING TWO INC. MAIL-IN FEE 2.00 <br /> 18550 C UNTY ROAD 81 <br /> MAPLE ROVE,MN 55369- TOTAL 128.10 <br /> (763)42 3677 Payment(s) <br /> CREDIT CARD 4334 128.10 <br /> OWNER <br /> CHENIT ,RICHARD&PATRICIA <br /> 3160 SUS EX RD <br /> LONG L KE,MN 55356- <br /> AG EMENT AND SWORN STATEMENT <br /> The work f which this permit is issued shall be performed according to <br /> the approv plans and specifications,applicable City approvals,and the <br /> State Build' g Code. This pertnit is for only the work described and dces <br /> not grant pe ission for additional or related work which requires separate <br /> permits. A1 provisions of laws and ordinances governing this type of work <br /> shall be co pied with whether or not specified herein.This permit will <br /> expire and come null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended f r a period of 180 days at any time after work has commenced. <br /> The applic t is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at y time for due cause. - <br /> r � <br /> �. / /i// / <br /> Applicant ermitee Signature Date Issued B ignature Date <br />