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PERMIT <br /> CIT"�OF ORONO <br /> 275.:'i Kelley Parkway- PO Box 66 Permit Number: P09404 <br /> Crystal Bay, Minnesota 55323 Permit Type: Fixtures <br /> (952) 249-4600 Date Issued: <br /> 11/8/2005 <br /> SITE ADDRESS: 1680 North Farm Rd Unit# <br /> Long Lake,MN 55356 <br /> P��� 27-118-23-44-0010 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: Plumbing <br /> Permit Type: <br /> Fixtures Permit Sub-type(s): Water Heater <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. OWNER: Mr. &Mrs. Thomas Ebert <br /> 2905 Garfield Avenue S. 1680 North Farm Rd <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 /> J' .•`s",",.� <br /> t�i� �%�-�-�C <br /> APPLICANT PERMITEE SIGNATURE I SUED BY SIGNATURE <br /> Copies: 1-File(SignaturesReguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />