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PERMIT <br /> t <br /> CITY OF ORONO <br /> C PERMIT TYPE: <br /> 2750 Kelley Parkway • P.O. Box 815 Permit Number: PLUMBING <br /> Orono, Minnesota 55356-0815 Date Issued: 005062 <br /> (612) 473-7357 04/116/93 <br /> SITE ADDRESS: <br /> 3800 WAYZATA BLVD <br /> GH <br /> P. I .N. ; 29-118-23-34-0009 <br /> DESCRIPTION: <br /> 21 FIXTURES <br /> Plumbing Permit Type FIXTURE= <br /> Plumbing Work Type COMMERCIAL <br /> 5 WATER CLOSET 5 LAVATORY i KITCHEN SINit:: <br /> iI LLC:i iC:f;S 4 FLOOR DRAINS 1 LAUNDRY TRAY <br /> I WASHER 1 WATER HEATER 1 WATER SOFTNER <br /> REMARKS: <br /> FEE SUMMARY: <br /> [G VALUATION X41 '2'0 r <br /> FFl�yy <br /> Ease Fee $5 .50 CATi� tr i�l�i1 <br /> Surcharge 12 1 c7 'h�' sC OFFICE <br /> --------- d.� t) + .t/hYn�yt-ri►i,a. OFFICE <br /> Total Fee $54.60 i AILY30i%00 ## <br /> 01 CEN 541.50 <br /> 12"2220000 V it 0 !Y <br /> CHEMW IL 546r-i-rT0T-TKj,k- YM <br /> .�J <br /> ##269960 L;Al Ig01 T14:45 <br /> NAA1.1 ° q <br /> '7f L of <br /> CONTRACTOR: - Applicant - OWNER: <br /> SC:HM I T STEVE PLBG 247-32680 OTTEN CLIFF <br /> 1045 MED I NA RD :3800 WAYZATA BLVD <br /> LONG LAKE MN 5535.6 ORONO MN 55356 <br /> (G 12) 473-3680 <br /> I � V31" � ,� f'1�$1oN, � TIS I L `# i; <br /> " .S "I PI 'AND <br /> I"Y <br /> O + ERC?INAN�r � �� �� A �r 1� �� �Q�I S <br /> PPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATUR <br />