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{ � PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: po3oo9 <br /> Crystal Bay, Minnesota 55323 Permit Type: FiXtuCes <br /> (612) 249-4600 Date Issued: 9i2si2oo <br /> SITE ADDRESS: 4225 Forest Lake Dr <br /> MOLJND,MN 55364 <br /> P ID: 07-117-23-12-0025 <br /> DESCRIPTION: <br /> ,_,_ _.._, <br /> Pl'OpOS0C1 USO: �c�iucu�[ai <br /> Permit Class: Plumbing <br /> Pennit Type: Fixtures Permit Sub-type(s): Single Family <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: � 500.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: KENNETH ANDERSON OWNER: KENNETH GERALD ANDERSON <br /> 4225 FOREST LAKE DRIVE 4225 FOREST LAKE DR <br /> MOUND, MN 55364 MOUND MN 55364 <br /> THE UNDERSIGNED I-IEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORD[NANCES AND <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> r � <br /> � ��C�� � ��-`���� <br /> APPLI ANT PERMITEE.I NAT ISSLTEDBY SIGNATi_JRE <br /> Copies: City,Applicant,Assessor,Finance Page 1 <br />