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� ^ PERMIT <br /> C I TY O F O RO N O Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 Po33�o <br /> Crystal Bay, Minnesota 55323 Permit Type: Vacuum Breaker <br /> (612) 249-4600 Date Issued: �oi6i2oo <br /> SITE ADDRESS: 3105 Casco Point Rd <br /> WAYZATA,MN 55391 <br /> P��: 20-117-23-34-0006 <br /> DESCRIPTION: <br /> „__�._, <br /> PPOpOSed USB: ��c�iucuiiai <br /> Permit Class: Plumbing <br /> Permit Type: Vacuum Breaker Permit Sub-type(s): Vacuum Breaker <br /> DETA ILS: <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: Weld& Sons Plumbing OWNER: THOMAS L NORMAN JR <br /> 315 Juneau Lane 3105 CASCO POINT RD <br /> Plymouth, MN 55447 WAYZATA MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL�MPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL C[TY q��' ORONO ORDINANCES AND <br /> STATE OF MINNESOTA BiJILDING CODE REQUIREMENTS. �y� <br /> V <br /> �C� <br /> �'� <br /> � <br /> ,� Z% <br /> APPLICANT PERMITEE S[GNATURE ISSlJED 13Y SIGNATURE <br /> Copies: City,Applicant,Assessor, Finance Page 1 <br />