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, PERMIT <br /> C�TY OF ORONO <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po�4g6 <br /> Crystal Bay, Minnesota 55323 Permit Type: vacuumBreaker <br /> (952) 249-4600 Date Issued: siiii2oo4 <br /> SITE ADDRESS: 1 ll Chevy Chase Dr <br /> WAYZATA,MN 55391 <br /> PID: 36-118-23-41-0011 <br /> DESCRI PTION: <br /> Proposed Use: xesidential <br /> Permit Class: Plumbing <br /> Permit Sub-type(s): Vacuum Breaker <br /> Permit Type: Vacuum Breaker <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> Lawn sprinkler ahnospheric back flow preventer <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 500.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: First Mechanical,Inc. OWNER: THOMAS L CURRY ETAL <br /> 7425 Louisiana Ave.N 111 CHEVY CHASE DR <br /> Brooklyn Park,MN 55428 WAYZATA MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> / / ., �, <br /> � � � � �. <br /> PLICANT MITEESIGNATURE ISSUEDBYSIGNATURE <br /> Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 <br />