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ITY F ORONO PERMIT <br /> �' � Permit Number: <br /> 27�G Kelley Parkway - PO Box 66 Pos29i <br /> Crystal Bay, Minnesota 55323 Permit Type: FiX�ures <br /> (952) 249-4E00 Date Issued: i2�i4�2ooa <br /> SITE ADDRESS: 70 Ferndale Green <br /> Wayzata,MN 55391 <br /> P I D: 36-118-23-44-0007 <br /> DESCRIPTION: <br /> Proposed Use: xesidential <br /> Pernut Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): Water��a4er S��'�-� <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: Christopher&Kelly Bellini <br /> 3670 Dodd Road Suite 100 70 Ferndale Green <br /> Eagan, MN 55123 Wayzata,MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> � ' <br /> ���,,�-�L� .�M� <br /> APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE <br /> Copies: 1-File(Si�nitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 <br />