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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> t 2750 Kelley Parkway • P.O. Box 815 !='`rt i��! .j Nt <br /> Orono, Minnesota 55356-0815 <br /> Permit Number: i ti j58:::,.� <br /> (612) 473-7357 Date Issued: 01 r0/, d <br /> SITE ADDRESS: <br /> 1 :t OLD CRYSTAL YSTAL BAY RD S <br /> CH q <br /> P . I .N. : 09-117-23-1 1-0005 <br /> DESCRIPTION: <br /> -- FIXTURES <br /> Plumbing Permit Type FIXTURES <br /> Plumbing Work Type RESIDENCE <br /> WATER CLOSET 3 LAVATORY :3 BATHTUB <br /> 1 SHOWER 1 KITCHEN SINK 1 DISPOSAL <br /> 1 D ISMASHER " „ <br /> 5 SII LCOCr:.._ 5 FLOOR DRAINS <br /> _. LAUNDRY TRAY = WATER HEATER 1 WATER CLOSET/RI <br /> 1 LAVATORY/RI 1 SHOWER/RI 1 WET BAR:RI <br /> 1 UNDEFINED <br /> CITYCITY OF Ot ONO1 <br /> L1 .'l1IJlt{J <br /> FINANCE i'rl!'C OFFICE <br /> L•L <br /> REMARKS: ' m.,`"'o"''' 44TT <br /> 01 GEN 152.81 <br /> 1222200000 VVV VV n <br /> i <br /> !LNF L'i 11?i <br /> V1 VLtf <br /> FEE SUMMARY: - "t""" 44 <br /> VIALUA 1I ON $12,225 — 1�1 LLfR J.NVV <br /> L,_.'•k• Ti i Lel :i i <br /> Fee <br /> ' MAIL <br /> +� y 411LL•11 IL It..v.Ti <br /> Base (-}:�—'' $152 . 81 I�i-1 I L I[`s r'L!•t. y _!•ilalAlF• YOU% -- <br /> '*L•L i ,!llTlTl.. !L'L• <br /> r 1 ••}:vvl 1Tv1 i r•i <br /> Surcharge q 16-11_ T'-'•t•=; Fee `�=•t_'r-. �.� ..-.• i.•-,,,,-..: <br /> : <br /> Subtotal `.3 f iii �.i� lilt •7 <br /> CAE:E'�rC(� ' .t & H Tl� INC , ;_' ,i�t TEIMFTEFli ROBERT <br /> l'-)469 Z I N RAIN AVE 1000 <br /> OLD CRYSTAL BAY RD = ' <br /> SAVAGE MN 55378 ORONO MN 55:31 <br /> (61';') 47U 0 473-2588 <br /> ' s DReEBY REQU STS SIMISS1ON TMAKE THE ' IPR�E7141:8,THEcl E D fi, TO D LL :: I STR C " t ► PLNC ,VIII, I TSITYO <br /> ONU � $• '$ STATE cMIk $ TA - U DING O � <br /> 0:...-/-2-2-er.-#-L) <br /> _,/,,,, 4_,_..) <br /> APPLICANT/PERMITEE SIGNATURE �/ ISSUED BY:SIGNATURE �A ' <br />