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� - ' • <br /> CITY OF ORONO � <br /> 2750 KELLEY PARKWAY * � 0 1 7 - 0 1 1 5 7 * <br /> DATE ISSUED: 09/19/2017 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3160 SUSSEX RD <br /> PIN : 04-117-23-32-0008 <br /> LEGAL DESC : FOX BEND <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYP : RESIDENTIAL <br /> CONSTRUCTIO TYPE : WATER HEATER <br /> VALUATION : $ 3,468.00 <br /> NOTE: WATER HE TER REPLACEMENT <br /> I�i <br /> �I <br /> I <br /> i <br /> � <br /> i <br /> I APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.73 <br /> HEATING&COO ING TWO INC. TOTAL 51.73 <br /> 18550 COUNTY R AD 81 <br /> MAPLE GROVE, 55369- Payment(s) <br /> (763)428-3677 CREDIT CARD 4334 51.73 <br /> OWNER <br /> CHENITZ, RICHAI�D&PATRICIA <br /> 3160 SUSSEX RD � <br /> LONG LAKE,MN�5356- <br /> � <br /> i <br /> AGREEME T AND SWORN STATEMENT <br /> The work for which this ermit is issued shall be performed according ro <br /> the approved plans and s ecifications,applicable City approvals,and the <br /> State Building Code. Th s permit is for only the work described and does <br /> not grant permission for dditional or related work which requires separate <br /> permits. All provisions laws and ordinances goveming this type of work <br /> shall be compied with w ether or not specified herein.This permit will <br /> expire and become null a d void if construction authorized is not <br /> commenced within 180 ys of the date of issuance,or if construction is <br /> suspended for a period o 180 days at any time afrer work has commenced. <br /> The applicant is responsi le for assuring all required inspections are <br /> requested in conformanc with the State Building Code.This permit may be <br /> revoked at any time for d e cause. • � <br /> � <br /> C%Y � L �'C/(� �l ( �/ O � <br /> Appli ant Permitee Si ature Date Issued By ' ature Date <br />