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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> Kelley Parkway- P.O. Box 66 t t'o �€�`� <br /> •\-'750 Permit Number: ;f 1 lose, <br /> }sY, <br /> Crystal Bay, Minnesota 55323 <br /> (612)473-7357 Date Issued: 12/08/98 <br /> SITE ADDRESS: 2625 THOROUGHBRED <br /> M _E <br /> P. I . N. . 04-117-23-11-002C) <br /> DESCRIPTION: <br /> 1 FIXTURE <br /> Plumbing Permit Type FIXTURES <br /> Plumbing Work Type RESIDENCE <br /> 1 WATER SOi=T NE R <br /> REMARKS: <br /> FEE SUMMARY: <br /> i <br /> Base Fee $36 . 00 MAIL IN <br /> r <br /> Surcharge arge -�'j.:.Q Iota Fee $37 . 00 <br /> Subtotal _ <br /> 5 .50 <br /> CONTRACTOR: - Applicant - OWNER: <br /> CULLIGAN 29337200 BAKKEN BRAD <br /> 6030 CULLIGAN WAY 2S26 THOROUGHBRED LA <br /> M I NNET�►tyt:A MN 55345 =E 1" MN 55356 <br /> (612) 933-7200 <br /> THE UNDERSIGNED HEREBY eFt t E'�.T�. PERMI 'I�.fN T. I A, , THE REAL I PRi�trr�€ ENTS <br /> ;SPECIFIED ANO AGREES TO DO ALL W{SRF': IN STRICT Ct mPLIANCE WITFC ALL CIT' O <br /> i RONO �RD I NANCES AMG STATE �+F MINNESOTA BU I LD INC �.+.�C�E R�:�i, J I fii*NT S <br /> L <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />