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.44 11TY OF ORONO PERMITPERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 F-t i ; :apt"j N <br /> Crystal Bay, Minnesota 55323 Permit Number: t i ,t; <br /> (612)473-7357 Date Issued: 10--.1i i/6 <br /> SITE ADDRESS: <br /> 2725 WAYv ATA BLVD <br /> LSV <br /> DESCRIPTION: <br /> I FIXTURE <br /> Plumbing Pei-mit Type FIXTURES <br /> r <br /> Plumbing Work Type `�'F`-'. 1- r' <br /> 1 k::i TCHEN SINK <br /> REMARKS: <br /> FEE SUMMARY: <br /> VALUATION $.1 , 7: :i, <br /> Base Fee $315. t:0 <br /> S"urcharge ------- i �z <br /> Total Fee �=c . 87 <br /> CONTRACTOR: - Applicant - OWNER: <br /> 6909 W I NNETKA 2725 WAYZATA BLVD <br /> BROOKLYN PARK MN 5542ED ORONO MN 5-05356 <br /> (E,12) 4:3:3-437 (612)47:3-86 06 <br /> ,THE UNDERSIGNED HEREBY REQUESTS PERM I SS I ON TO MAKE a THE <br /> ., `SPECI'F I ED AND AGREES Ta oo�.AL WORK I N STRICT GIMP. <br /> ORONO ►ARD INANC:ES AND :NATE F t�I Nr� DTA. 'S11 I LC)I NG C-00 <br /> APPLICANT/PERMITEE SIGNAT E ISSUED BY:SIGNATURE <br />