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NERESsuffm <br /> CITY OF ORONO * 2013 - 00979 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/20/2013 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: 952)249-4616 <br /> ADDRESS 2535 OLD BEACH RD <br /> PIN 21-117-23-22-0019 <br /> LEGAL DESC THE MARSH AT LAFAYETTE <br /> LOT 006 BLOCK 001 <br /> PERMIT TYPE MECHANICAL(<$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE VENTILATION <br /> NOTE: VENT(1)BATH EXHAUST <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> PRACTICAL SYSTEMS STATE SURCHARGE MECH(<$500) 5.00 <br /> 4342 B SHADY OAK RD <br /> HOPKINS,MN 55343 MAIL-IN FEE 2.00 <br /> (952)933-1868 TOTAL 22.00 <br /> PAID WITH CC# 0961 <br /> OWNER <br /> CODUTE,TOM&ALICIA <br /> 2535 OLD BEACH 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 /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> do 13 9/020�I3 <br /> Applicant Permitee Signature Date Issueof By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />