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, a <br /> . �' # <br /> CITY OF ORONO PERMIT <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: po�6g3 <br /> Crystal Bay, Minnesota 55323 Permit Type: FiX�ureS <br /> (952) 249-4600 Date Issued: ��6�2004 <br /> SITE ADDRESS: 3950 North Shore Dr <br /> Mound,MN 55364 <br /> PI D: 08-117-23-33-0067 <br /> DESCRI PTION: <br /> Proposed Use: Kesidentiai <br /> Pernut Class: Plumbing <br /> Pernut Type: Fixtures Permit Sub-type(s): Water Heater <br /> . �Vi ![�:CG:�r. <br /> DETAILS: �ce���.:;;: i���7683 <br /> Approved per resolution#: ���17� - ����- I <br /> I t� U.(�0 G.00 � <br /> �e �ee i <br /> Separate pernuts required: I@ 15.04 IS�,40 '' <br /> r� Review � <br /> 1 A Q.t►0 t!� <br /> �: ir� Fees <br /> NOTICES/REMARKS: ' ;�,� �u���rg¢ I.�4 i, — <br /> 0.�0 ti.:,:� <br /> rhar e <br /> � � U.�'i 0.00 1 <br /> tr�vestigatior� Fee <br /> l � �J.{i� p,r�, <br /> — ;il�T��AI. 17. <br /> FEE SUMMARY: PernutFee: $ 15.00 '��� 0. <br /> `,)TAl SALE 17,i <br /> ;neck Feceived 17.U�� <br /> i <br /> State Surcharge Fee: $ 0.50 '�� p•� � <br /> -r��_ r,i�� � � �� <br /> Misc. Fee: $ 1.50 <br /> TOTAL FEE: $ 17.00 <br /> APPLICANT: Norblom Plumbing Co. �WNER: Raoul Booton&Molly Holcombe <br /> 2905 Garfield Avenue S. 3950 North Shore Dr <br /> Minneapolis,MN 55408 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 /> APPLICANT PE TEE SIGNATURE ISSUED BY SIGNATURE <br /> Copies: 1-File(Si�nitures Required), 1-Aoplicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 <br />