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� CITY OF ORONO PERMIT PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 PLUMBING <br /> Crystal Bay, Minnesota 55323 Permit Number: 007955 <br /> (612)473-7357 Date Issued: 05 1. ,9G <br /> SITE ADDRESS: <br /> 2543 THOROUGHBRED LA pp <br /> LSV <br /> P. I . N. ; 04-117-23-12-0021 <br /> 21 <br /> DESCRIPTION: <br /> 9 FIXTP}RES <br /> Plumbing Permit. Type FIXTURE.: <br /> Plumbing Work: Type RESIDENCE <br /> 7 WATER CLOSET 7 LAVATORY 2 BATHTUB <br /> 4 SHOWER I KITCHEN SINK I DISPOSAL <br /> 1 DISHWASHER 2 SILLCOCKS 1 FLOOR DRAINS <br /> 1 LAt3NDRY TRAY _ WATER HEATER <br /> REMARKS: <br /> FEE SUMMARY: <br /> VALUATION $13, 100 <br /> Base Fee $163 .75 <br /> Surcharge __—_—_ i a-= <br /> Total Fee -1170. =0 <br /> CONTRACTOR: - Applicant. - OWNER: <br /> SOUTHWEST METRO PLBG 24432921 TONY E I DEN CO <br /> 1878 WOODSTONE DR 4100�0 BERKSHIRE LA <br /> VICTORIA MN 55:_86 PLYMOUTH MN S5446 <br /> (612) 44'-2921 <br /> THE UNDERSIGNED HERESYRE LjESTS PEfMI%I(W' TO M 'FIE?REAL,'J' IPROVEKEWS <br /> aPE , FIEli"' AND AQAEES TO Ott ALL .WORD, IN ��Y"CT G �Estdl��� � ; <br /> L_ <br /> ORONO, MINANC:ES. AND STATE C MINK TAE L 3 N It, : <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />