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CITY OF ORONO * 2 0 1 3 - 0 0 7 9 3 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/13/2013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS 320 WAKEFIELD RD <br /> PIN 36-118-23-31-0014 <br /> LEGAL DESC WAKEFIELD FARMS 2ND ADDN <br /> LOT 005 BLOCK 001 <br /> PERMIT TYPE PLUMBING(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE FIXTURES-MULTIPLE <br /> NOTE: 1 ST FLOOR: KITCHEN SINK,DISPOSAL,DISHWASHER,WET BAR <br /> VALUATION OF PLUMBING 950 <br /> APPLICANT PLUMBING FIXTURE FEE 50.00 <br /> NORTH SUBURBAN PLUMBING, INC. STATE SURCHARGE PLBG(VALUATION) 0.48 <br /> 28221 144TH STREET <br /> ZIMMERMAN,MN 55398 TOTAL 50.48 <br /> () <br /> Minnesota State License#: PM60369 <br /> OWNER <br /> CIBUZAR,MARK <br /> 320 WAKEFIELD RD <br /> WAYZATA,MN 55391- <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 additional 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 /> suspended for a period of 180 days at any time after work has commenced. <br /> e applicant is responsible for assuring all required inspections are <br /> requ ed in conform a Building Code.This permit may be <br /> revoked a time for e. <br /> Applicant Permitee Signature Date Issued Ey Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />