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PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 Po�394 <br /> Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Per�ts <br /> (952) 249-4600 Date Issued: 4ilsi2oo4 <br /> SITE ADDRESS: 560 Kokesh Farm Rd <br /> MaplePlain,MN 55359 <br /> PID: 3i-iis-23-ii-ooi2 <br /> DESCRIPTION: <br /> Proposed Use: Residenrial <br /> Permit Class: General <br /> Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Pernut Fee: $ 497.50 Valuation: $ 39,800.00 <br /> State Surcharge Fee: $ 19.90 <br /> TOTAL FEE: $ 517.40 <br /> APPLICANT: Serbus Heating&Cooling OWNER: Brian&Nancy Siska <br /> 272 Industrial Blvd. 560 Kokesh Farm Rd <br /> Waconia,MN 55387 Maple Plain, MN 55359 <br /> THE UNDERSIGNED HEREBY REQUESTS PERNIISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> � � <br /> � � <br /> � �� �_,-�_ �,�-__ �.���-_� <br /> , ; <br /> APPL A I PERMITEE SIGNATURE ISSUI:D]3Y SIGNATURE <br /> Copies 1-File(SiQnitures Requir•ecl), 1-Applicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1 <br />