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. w <br /> � PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 P06114 <br /> Crystal Bay, Minnesota 55323 Permit Type: FiX�ures <br /> (952) 249-4600 Date Issued: 3�19i2oo3 <br /> SITE ADDRESS: 1045 Brown Rd S <br /> Wayzata,MN 55391 <br /> PI D: 10-117-23-24-0002 <br /> DESCRIPTION: <br /> Proposed Use: Kesiclential <br /> Permit Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): Mulriple Fixtures <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: PermitFee: $ 150.00 Valuation: $ 12,000.00 <br /> State Surcharge Fee: $ 6.00 <br /> TOTAL FEE: $ 156.00 <br /> APPLICANT: Southtown Plumbing Inc. OWNER: Steve Vandeveire <br /> 6636 Penn Ave S 1045 Brown Rd S <br /> Richfield,MN 55423 Wayzata MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> �'"`'�' ;,�;' � ,� :--, 1� - <br /> ! ��-s�'� C� � i f"�G�_.- ��f�`�' -_/ <br /> APPLICANT PERMITGE SIGNATURE 7SSUED BY SIGNATURE <br /> Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 <br />