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, PERMIT <br /> CiTY OF ORONO <br /> Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P11277 <br /> Crystal Bay, Minnesota 55323 Permit Type: Vacuum Breaker <br /> (952) 249-4600 Date Issued: <br /> 7/31/2007 <br /> SITE ADDRESS: 645 Ferndale Rd N Unit# <br /> Wayzata, MN 55391 <br /> PID: 36-118-23-I 1-0010 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: Plumbing <br /> Permit Type: <br /> Vacuum Breaker Permit Sub-type(s): Vacuum Breaker <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> install presssure vacuum breaker for irrigation <br /> FEE SUMMARY: Pernut Fee: $ 15.00 valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> Misc. Fee: $ 1.50 <br /> TOTAL FEE: $ 17.00 <br /> APPLICANT: Roto Rooter Services Co. OWNER: Andrew& Sara Turner <br /> 14530 27th Ave.N. 645 Ferndale Rd N <br /> Minneapolis,MN 55447 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 CODE REQUIREMENTS. <br /> �� Grt_. 0 �y' <br /> AP LICANT PERMITEE SIGNATURE SUED BY SIGNATURE <br /> Copies: l-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Asscssing,(If Septic, 1-Septic) Page 1 <br />