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PERMIT <br /> �IT� OF ORONO <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po33�2 <br /> Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits <br /> (612) 249-4600 Date Issued: 12i�i2oo <br /> SITE ADDRESS: 275o t{elly Ave <br /> EXCELSIOR,MN 55331 <br /> PID: 21-117-23-23-0038 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Mechanical Permits Permit Sub-type(s): Gas Line Inspection <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,930.00 <br /> State Surcharge Fee: $ 0.97 <br /> TOTAL FEE: $ 35.97 <br /> APPLICANT: AL'S MASTER PLUMBING OWNER: JOHN L KOZAR ETAL <br /> 3041 ALDRICH AVENUE S 2750 KELLY AVE <br /> MINNEAPOLIS,MN 55408 EXCELSIOR MN 55331 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL]MPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br />� / � ��--� -'� � —\ <br /> � , �/ �; f � � <br /> // �.- ,L..��+J - J/i, _,.__✓��/ ,/� /�i,� %,/f��C-C/ d`�� <br /> r APPLICANT PERMITEE SIGNATURE I�SUED BY SIGNATi.JRE — <br /> Copies: City,Applicant,Assessor, Finance Page 1 <br />