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PERMIT <br /> CITY OF ORONO • At <br /> PERMIT TYPE: <br /> 2750 Kelley Park ay • P.O. Box 815 Permit Number: PLUMB NG <br /> Orono, Minnesota 55356-0815 005298 <br /> (612) 473-7357 Date Issued: 06/28/93 <br /> SITE ADDRESS: <br /> 540 OLD CRYSTAL BAY RD <br /> LSV <br /> P. I .N. : 04-117-23-42-0023 <br /> DESCRIPTION: <br /> 5 FIXTURES <br /> Plumbing Permit. Type FIXTURES <br /> PlOnbing Work Type ADDITION <br /> 1 WATER iCLOSET 2 LAVATORY 1 BATHTUB <br /> 1 SHOWER <br /> CITY OF MONO <br /> FiNANCE OFFICE <br /> 13133'00000 <br /> 01 £E,7 62.50 <br /> 1222200000 <br /> j 01 CEN 7.50 <br /> '}' <br /> Lr7�lL47�, 7LLAN 6�.jr''��.+0 <br /> #277250 C001 !W l T14:57 <br /> tf4/2 / i <br /> REMARKS: <br /> FEE SUMMARY: <br /> VALUATION $5,000 <br /> Base Fee ! $62 .50 <br /> 50 <br /> Surcharge ---- -- _ �dQ <br /> Total Fee $65.00 <br /> i I <br /> CONTRACTOR: - Applicant. - OWNER: <br /> P30 MEC:H CUNT CO 25332218 ROGESHE .f E FUNK <br /> 4629 41'_T' AVE N j 540 OLD CRYSTAL BAY RD S <br /> ROE:B I NSDALE MN 5542'2 ORONO MN 5535F, <br /> (612) 533-2218 <br /> UNDER «' ED HE-ROY <REQUESTS PER ISS ON TO ". A I�THE R � TS' <br /> SPEC IF'IED .t_ <br /> ' ' SEES C! .-ALL ;WOK-`,1*'.STRI T ,�' '-L I ANNE WIT ALL CITY OF <br /> :ORONO <br /> ORDI ' �S, ANDS TE OFMINNESOTA IG UILDI CODE REQUIREMENTS. <br /> Xtet <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE Coel_U <br />