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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 PLUMBING <br /> Crystal Bay, Minnesota 55323 Permit Number: {i01-:581 <br /> (612) 473-7357 /22/96 <br /> Date Issued: - <br /> SITE ADDRESS: <br /> 10 0 TI:lNKAWA RD <br /> L:=-Ad <br /> DESCRIPTION: <br /> ='' F I XTURE: ; <br /> Plumbing Permit Type FIXTURES <br /> Plumbing Work Type RESIDENCE <br /> 4 WATER CLI-J!:-:,ET 5 LAVATORY 2 BATHTUB <br /> 4 SHOWER _ KITCHEN I NFA:. I D I'=:F fh-*-AL <br /> 1 DISHWASHER 7 SILLCOCKS 1 FLOOR -DRAINS <br /> 4 LAUNDRY TRAY 1 MATER HEATER 1 WATER :-*;A-IFTNER <br /> 1 LAVATORY/RI 2 UNDEFINED <br /> REMARKS: <br /> FEE SUMMARY: <br /> VALUATION $19, 892 <br /> Base Fee $248. 65 MAIL IN <br /> ----- <br /> Surcharge ---------12-25 Total Fey i260 . 1R� <br /> Subtotal <br /> CONTRACTOR: -- Applicant - OWNER: <br /> LAKESIDE PLBG &- HTG INC: 28947600 WATER`; t ASSOCIATES <br /> 12461; 4Z I N RAN AVE 1 TI:NKAWA RD <br /> SAVAGE �Mid 553-178 ��RONID MN SS 5r <br /> (612) 894-76C)o <br /> THE UNDERSIGNED HEREBY REQS JESTS PEMU SSI Com" O THE REAI, IMPROVEMENTS <br /> SPECIFIED ANC# AGRCEES " ' ` 1 �3'SLI. WORK`k: IN STIRICT ,C I"! TANS WITI4:ALL CITY. ISI' <br /> + tCflyc_i ud I NANC:ES Alla STATE OF'M I I�INET"" "BILI I* I"� C,CP �E�ti I�EIEI' TS. <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />