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PERMIT <br /> CI��'� OF ORONO <br /> 2R750 Kelley Parkway- PO Box 66 Permit Number: Po�s�a <br /> Crystal Bay, Minnesota 55323 Permit Type: Fixtures <br /> (952) 249-4600 Date Issued: 6/8/2004 <br /> SITE ADDRESS: 1540 Long Lake Blvd <br /> L.ong Lake,MN 55356 <br /> P I D: 26-118-2 3-3 3-0007 <br /> DESCRIPTION: <br /> Proposed Use: xesicientiai <br /> Permit Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): Water Softner <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <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: Norblom Plumbing Co. QWNER' William Ghandy&Rachel Carpenter <br /> 2905 Garfield Avenue S. � 1540 Long Lake Blvd <br /> Minneapolis,MN 55408 Long Lake MN 55356 <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 /> `',�1.t� �t <br /> APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE <br /> Capies: 1-File(SiQnitures Required), 1-Auulicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1 <br />