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PERMIT
<br /> 4 city OF ORONO PERMIT TYPE:
<br /> 1335 Brown Rd. South • P.O. Box 66 Permit Number:
<br /> (612)
<br /> Issued:mber: F'i_LiMBING
<br /> Crystal Bay, Minnesota 55323 003557
<br /> (612) 473-7357 02/2(-)/"31.
<br /> SITE ADDRESS:
<br /> 1801 WEST FARM RD
<br /> .JG
<br /> 27118-2:::1--44-0i:116
<br /> DESCRIrITIOIN:
<br /> 8 FIXTURES _.
<br /> Plumbing Permit. Type FIXTUREb
<br /> ,
<br /> PlurAL-..ing Work Type RENOVATE/REMODEL
<br /> :3 WATER CLOSET :3 LAVATORY 1 BATHTUB
<br /> 1 SHOWER
<br /> __ . .. ....
<br /> REMARKS:
<br /> -
<br /> FEE SUMMARY:
<br /> Base Fee $40 . 00
<br /> Surctlar.qe 1_51-.1
<br /> Total Fee $40 .50
<br /> CONTRACTOR: OWNER:
<br /> -- Applicant. --
<br /> DAY EARL W & SONS 24738403 PIERP1:II\1T JAMES
<br /> .5'7.'0 E:RIMf-IALL AVE 1810 WEST FARM RD
<br /> LONG LAKE MN 55356 LONG LAKE MN 55356
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<br /> APPLICANT/PER EE SIGNATURE
<br /> ISSUED BY:SIGNATURE
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