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PERMIT <br /> CITY OF ORONO Permit Number: <br /> �751� Kelley Parkway - PO Box 66 Po633� <br /> Crystal Bay, Minnesota 55323 Permit Type: Fix�ureS <br /> (952) 249-4600 Date Issued: si2oi2oo3 <br /> SITE ADDRESS: 2771 Shadywood Rd <br /> EXCELSIOR,MN 55331 <br /> P I D: 21-117-23-24-0059 <br /> DESCRIPTION: <br /> Proposed Use: Kesidential <br /> Permit Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): Water Heater <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,150.00 <br /> State Surcharge Fee: $ 0.58 <br /> TOTAL FEE: $ 35.58 <br /> APPLICANT: John Anderson Plumbing Co. OWNER: R G&M 7 OGLE <br /> 19840 Lakeview Ave. 2771 SHADYWOOD RD <br /> Deephaven,MN 55331 EXCELSIOR MN 55331 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> �� <br /> 1 , d, <br /> ���:- � ,�' ,� �l _ �%�'l�'��t ,�� <br /> � APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE <br /> / <br /> Copies: 1-File(Sienitures Required), 1-Anolicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 <br />