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MUHRIUMMEM <br /> CITY OF ORONO * 2 0 1 3 — 0 0 7 9 4 <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 MECHANICAL(<$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE VENTILATION <br /> NOTE: VENTING KITCHEN EXHAUST. <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> NORTH SUBURBAN PLUMBING, INC. STATE SURCHARGE MECH(<$500) 5.00 <br /> 28221 144TH STREET TOTAL 20.00 <br /> ZIMMERMAN,MN 55398 <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 /> The applicant is responsible for assuring all required inspections are <br /> r ested in confbrmwith t State Building Code.This permit may be <br /> rev t any time for due c <br /> 903/ 1 <br /> pplicant Permitee Signature Date Issue0y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />