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fERMIT <br /> CITY OF ORONO t PERMIT TYPE: F . �: NG <br /> 1335 Brown Rd. South • P.O. Box 66 Permit Number: �a?' :��. <br /> Crystal Bay, Minnesota 55323 Date Issued: 06/25/= 1 <br /> (612) 473-7357 <br /> SITE ADDRESS: <br /> 22702 WALTER':: P13RT LA <br /> LSV <br /> P. I .N. : 2,1-117-23-23-00r39 <br /> DESCRIPTION: <br /> Plumbing Permit Type FIXTURES <br /> Plumbing Werk Type. REPLACE EXISTING <br /> I BATHTUB I LAVATORY/RI <br /> REMARKS: <br /> FEE SUMMARY: <br /> i <br /> Ease Fee $30.00 <br /> Surcharge ----------1_,Q <br /> Total Fee $30. 60 CITY OF OMWO <br /> Iasi:�6h44CE OFFICE # <br /> 01 GEN 30.4p <br /> 1.12,17.21V0000 # <br /> CHECK,41 TL N 3O.5 <br /> RECEIPT-THAW YOU <br /> t 16 O CON R01 T14:40 <br /> 06125191 <br /> CONTRACTOR: pWNE(�: -- App 1 i c ant• -- <br /> i� OTT ANDREW <br /> 702 WALTER: FORT LA <br /> ORON13 MN 55331 <br /> (612)471-9898 <br /> +' <br /> t s!:_i I(-�-Ei!,- !'i;Etr-,-r_.a•� • <br /> - <br /> a _ F E_R r:!I'�S I._!N T!_! MA `.r TH. RENAL IMPROVEMENTS* <br /> 3 !_! )I_! FALL ih!I_��i;, i�"� _ !�Fi T�.. �.!_!!'f}"�t_�t-F�'QL.•C !�t,!� ? P'{ f-iL_L }r,.� ! `y'� <br /> !! i <br /> � 3r�:_ Ur I_!1VNi--— HA BUILDING CA-01E F?: : _ rs REs EN r� , <br /> . <br /> _ AANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />