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� � PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: P02787 <br /> Crystal Bay, Minnesota 55323 Permit Type: FiXtures <br /> (612) 249-4600 Date Issued: g�s�2000 <br /> SITE ADDRESS: 4140 North Shore Dr <br /> MOUND,MN 55364 <br /> P I D: 07-117-23-44-0052 <br /> DESCRIPTION: <br /> ��--��_, <br /> Pl'OpOSeCI USe: nC�iucii��ai <br /> Permit Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): Washer <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,050.00 <br /> State Surcharge Fee: $ 1.03 <br /> TOTAL FEE: $ 36.03 <br /> APPLICANT: AL's MasTEx PLUMBtN� OWNER: JAcossoN <br /> 900 RED OAK LANE 4140 NORTH SHORE DR <br /> MOUND, MN 55364 MOUND MN 55364 <br /> THE UNDERSIGNED NEREBY 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 <br /> STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS. <br /> . <br /> 1 , � <br /> APPLICANT PER ITEE IGNATURE ISSUED BY SIGNATURE <br /> Copies: City,Applicant,Assessor, Finance Page 1 <br />