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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 E;t i 14 D I_NG <br /> Crystal Bay, Minnesota 55323 Permit Number: 001958 <br /> (612) 473.7357 Date Issued: 05/15/96 <br /> SITE ADDRESS: <br /> 4040 WATERTOWN RD <br /> L=;V <br /> P. I . N . : 31-118-23-41-0001 <br /> DESCRIPTION: <br /> TEAR-OFF/RF-ROOF <br /> Building Permit. Tsp? SF-ADD/REMODEL <br /> Building Work Type ' 'r'eK: EeZooF <br /> Census Code 434 ALT . RESIDENTIAL <br /> REMARKS: <br /> FEE SUMMARY: <br /> VALUATION $2 {700 <br /> Base Fee $62 . 25 <br /> Surcharge <br /> Total Fee $63. 26 <br /> CONTRACTOR: OWNER: - Applicant - <br /> SM I E JA PAT <br /> 4040 WATERTOWN ERTOWN RD <br /> ORONO MN 553S9 <br /> (612)4.04._-0621 <br /> THE UNDERSIGNED I GNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br /> SPECIFIED AND AGREES TO DO ALL WORK': IN STRICT COMPLIANCE WITH ALL CITY OF <br /> L_ ORON►V RD I MANCE S AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. i <br /> r ; - / ‘94,6t-/ fVi <br /> l..i/19rv/J" <br /> APPLICANTPERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />