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ti CITY OF ORONO * 2013 - 006,S2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/16/2013 <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 MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE REPAIR <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION $ 1,100.00 <br /> NOTE: REPAIR ROOF LEFT ON ENTRY AND SOFFIT. <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 44.50 <br /> SELA ROOFING&REMODELING,INC. STATE SURCHARGE(VALUATION) 0.55 <br /> 4100 EXCESIOR BLVD <br /> ST.LOUIS PARK,MN 55416- TOTAL 45.05 <br /> (952)915-7227 <br /> Minnesota State License#: BC 1050 <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 /> 7re ested in conformance with the State Building Code.This permit maybe <br /> r v k d at y u e r due cause. <br /> 7/ <br /> Applicant Permitee Signature Date ISSUVBy Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />