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GITY OF ORONO PERMIT <br /> Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P1055o <br /> Crystal Bay, Minnesota 55323 Permit Type: Fixtures <br /> (952) 249-4600 Date Issued: <br /> 11/13/2006 <br /> SITE ADDRESS: 2135 Colin Dr Unit# <br /> Long Lake,MN 55356 <br /> P��� 03-117-23-21-0016 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): Water Heater <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 15.00 valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> Misc.Fee: $ 1.50 <br /> TOTAL FEE: $ 17.00 <br /> APPLICANT: H.P. Pipeworks OWNER: Mr. &Mrs. David Healy <br /> 3670 Dodd Road Suite 100 2135 Colin Drive <br /> Eagan, MN 55123 Long Lake MN 55356 <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 /> I���-� I '-� ,-� ��t� '- t c: ) � ?Cc;i 1 d�i i <br /> APPLICANT PERM[TEE SIGNATURE ISSUED BY SIGNATURE <br /> Copies: 1-File(Signatures Required), l-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />