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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway - P.O. Box 66 QJ i T L&NG <br /> Crystal Bay, Minnesota 55323 Permit Number: I j t') 7 <br /> (612) 473-7357 Date Issued: C)1 0/ 7 <br /> SITE ADDRESS: <br /> 216-5 WATERTOWN RD <br /> CH <br /> P . 9. .N . I 17-2 1 <br /> DESCRIPTION: <br /> B0'---"E1y,.1'ENT FTNI <br /> Bu i 1 d i n-'q Pei-mit. Type SF--ADD/REMODEL <br /> Building Wc-rk TYPE, RENFIVATE/REMODEL <br /> UBC Occupancy R-3 <br /> Cc,nst-rL4r-f.ic-n Type VN <br /> Census Cc-de 4:34 ALT . RESIDENTIAL <br /> REMARKS: <br /> C <br /> '�j T <br /> 'SEPARATE PERMIT::* RE I.RED FOR MECHANICAL, FIREPLAC:E (MFG . ) , AND ELECTRICAL <br /> (STATE) . <br /> FEE SUMMARY: <br /> -7 C)(Ij <br /> VAI... I CIN <br /> Base Fee $137 . 2S <br /> Plan Review $89 . 21 <br /> Sui-chlarge ---------13A5 <br /> Trit-al Fee $230 . 31 <br /> CONTRACTOR: OWNER: Applicant - <br /> K A Nf I--'R ROBERT <br /> �116S WATERTOWN RD <br /> ORONO MN S53SG <br /> -1, 1MPR0V MENTS , <br /> THE LINDERSIWED :HEREBY REQLJ.EISI�5¢,,�PEn�,'�m�l-ss�,ION�,','Tr-t-'MAKF,� <br /> T TIH 'ALL. J TY-�Of` <br /> SPEC If IED AND AGREE S' TO �A ki",' 1611101 <br /> C'T' <br /> A <br /> lL' <br /> ORONO r-MINAkES AND STA k P T ) RE, NTS2,14, <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />