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'tTY� F R N PERMIT <br /> �' � � � � Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 P07203 <br /> Crystal Bay, Minnesota 55323 Permit Type: FiXc�res <br /> (952) 249-4600 Date Issued: 2/3/2004 <br /> SITE ADDRESS: 135 Luce Line Ridge <br /> Maple Plain,MN 55359 <br /> PID: 31-118-23-34-0007 <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: Permit Fee: $ 15.00 <br /> Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> Misc.Fee: $ 1.50 <br /> TOTAL FEE: $ 17.00 <br /> APPLICANT: Appliance Installers of MN.,Inc. OWNER: David Anderson <br /> 16740 Iredale Path 135 Luce Line Ridge <br /> Lakeville,MN 55044 Maple Plain MN 55359 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICf COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> �—�Yl.(�l_X .Cl►l� <br /> APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE <br /> Conies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1 <br />