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' � PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: pos2a3 <br /> Crystal Bay, Minnesota 55323 Permit Type: FiXr�es <br /> (952) 249-4600 Date Issued: si3oi2oo2 <br /> SITE ADDRESS: 4195 Highwood Rd <br /> Mound,MN 55364 <br /> P I D: 07-117-23-44-0022 <br /> DESCRIPTION: <br /> Proposed Use: xesidential <br /> Permit Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 136.88 Valuation: $ 10,950.00 <br /> State Surcharge Fee: $ 5.48 <br /> TOTAL FEE: $ 142.36 <br /> APPLICANT: Plumbing Services Inc. OWNER: Douglas&Roban Smith <br /> 1628 Highway 10 NE 4195 Highwood Rd. <br /> Spring Lake Park,MN 55432 Mound,MN 55364 <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 /> .� <br /> � <br /> / ' : / <br /> ��c%✓,�i ,; " (,� Z'2— <br /> ` <br /> APPLICANT PER ITEE SIGNATURE ISSUED BY SIGNATURE � <br /> Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessins, 1-Finance Page 1 <br />