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��'�`OF R N PERMIT <br /> �' � � � Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P08316 <br /> Crystal Bay, Minnesota 55323 Permit Type: Fixtures <br /> (952) 249-4600 Date Issued: i2i2�i2ooa <br /> SITE ADDRESS: 380 Silver Meadow Dr <br /> Long Lake,MN 55356 <br /> P I D: 33-118-23-42-0005 <br /> DESCRIPTION: <br /> Proposed Use: Kesidennai <br /> Permit Class: Plumbing <br /> Pernut Type: Fixtures Permit Sub-type(s): Water Heater <br /> DETAILS: <br /> Approved per resolurion#: <br /> Separate perxnits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 15.00 <br /> Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> Misc.Fee: $ 1.50 <br /> TOTAL FEE: $ 17.00 <br /> APPLICANT: Norblom Plumbing Co. �WNER: Shawn&Ann Cadwallader <br /> 2905 Garfield Avenue S. 380 Silver Meadow Dr <br /> Minneapolis,MN 55408 Long Lake,MN 55356 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> %�'I4.GC.�-l' .�i,1 �-C�i�/''/�s't <br /> APPLICANT PERMITEE SIGNATURE D BY SIGNATURE `�'���� <br /> Covies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 <br />