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�ITY OF ORONO PERMIT <br /> �27�0 Kelley Parkway- PO Box 66 Permit Number: Po9565 <br /> �rystal Bayx Minnesota 55323 Permit Type: <br /> (952) 249-�4600 Fixtures <br /> Date Issued: 1/27/2006 <br /> SITE ADDRESS: 1280 Spruce Pl Unit# <br /> Mound,MN 55364 <br /> P��� 08-117-23-32-0027 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: Pltunbing <br /> Permit Type: <br /> Fixtures Pernut Sub-type(s): Water Softner <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> Double Fee-Work done without a pernut <br /> FEE SUMMARY: Pernvt Fee: $ 15.00 Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> Misc.Fee: $ 15.00 <br /> TOTAL FEE: $ 30.50 <br /> APPLICANT: Richard's Custom Water OWNER: Gregory&Jeanne Gustafson <br /> 6121 Excelsior Blvd.#206 370 Golfview Rd#801 <br /> St.Louis Park,MN 55416 N.Palm Beach,FL 33408 <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 /> APPLICANT PE EE SIGNATURE SSUED BY SIGNATURE <br /> Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />