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CIT`�r' OF ORONO PERMIT <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Pos2oi <br /> Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits <br /> (952) 249-4600 Date Issued: ivt��2ooa <br /> SITE ADDRESS: 783 Boulder Dr <br /> Long Lake,MN 55356 <br /> PID: 33-118-23-11-0009 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Pernut Class: General <br /> Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 87.50 Valuation: $ 7,000.00 <br /> State Surcharge Fee: $ 3.50 � <br /> TOTAL FEE: $ 91.00 <br /> APPLICANT: plymouth Plumbing&Heating OWNER: Dahlstrom Development LLC <br /> 12270 43rd Street NE 7745 Polaris Lane <br /> St.Micheal,MN 55376 Maple Grove,MN 55311 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> ANDAGREES TO DO ALL WORK IN STWCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILD G CODE REQUIREMENTS. <br /> 'l.�?_� <br /> APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE <br /> Covies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 <br />