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PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kr Iley F�arkway- PO Box 66 Po9101 <br /> Crystal Bay, Minnesota 55323 Permit Type: <br /> Fixtures <br /> (952) 249-4600 Date Issued: 8/23/2005 <br /> SITE ADDRESS: 128 Chevy Chase Dr Unit# <br /> Wayzata,MN 55391 <br /> P��� 36-118-23-41-0041 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: Plumbing <br /> Permit Type: <br /> Fixtures Permit Sub-type(s): Kitchen Sink <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> &Gas Cooktop <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,200.00 <br /> State Surcharge Fee: $ 0.60 <br /> TOTAL FEE: $ 35.60 <br /> APPLICANT: Midwest Plumbing OWNER: Todd&Jana Nelson <br /> 12485 Rhode Island Ave 128 Chevy Chase Dr <br /> Savage,MN 55378 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 DE REQUIREMENTS. <br /> ,?,� <br /> ��� . <br /> i <br /> �'' <br /> �,-� �._ (��1.C�� �� <br /> L RMITEE SIGNATURE ISSUED BY SIGNATURE <br /> Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />