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- PERMIT <br /> CITY OF ORONO PERMIT TYPE: Pi NE: NG <br /> 2750 Kelley Parkway- P.O. Box 66 <br /> 0032ztl <br /> Crystal Bay, Minnesota 55323 Permit Number: <br /> Date Issued: / / <br /> (612) 473-7357 <br /> SITE ADDRESS: <br /> 470 OLD LONG LAKE RD <br /> sv <br /> P. I . N . : -118-23-34-0012 <br /> DESCRIPTION: <br /> 28 FIXTURES <br /> Plumbing Permit Type FIXTURES <br /> Plumbing Work Typn RESIDENCE <br /> 4 WATER CLOSET 6 LAVATORY 2 BATHTUB <br /> 2 SHOWER 2 KITCHEN SINK 1 DISPOSAI <br /> 1 0 I HW SHE R SILLCOCKS 2 FLOOR DRAINS <br /> 1 fAUNnRY TRAY 1 WASHER 1 WATER PE - E- <br /> 1 WET BAR 1 UNDEFINED/RI 1 UNDFFINFD <br /> REMARKS: <br /> FEE SUMMARY: <br /> VALUATION $12, 480 <br /> $156 .00 <br /> Sur charge 24 <br /> Total FPe $162. 24 <br /> CONTRACTOR: - Applicant - OWNER.- <br /> BENZ-RYAN PIUMBING l-1 24231144 PILIAR HOMES <br /> 14746 SOUTH ROBERT SiL FAST LAKE FJ <br /> ROSFMOUNT MN SS068 WAYZATA MN 5S391 <br /> (612) 423-1144 (612)47S-4902 <br /> THE UNDERSI6NED--HEREBY REQUESTS -PERtiiSS4PW14:::!!'0 fHt-::$*Ylt..-1- 0*RID9ETIENTS <br /> SPECIFIED AND AGREES TO DO ALL 'WORK-IN, STRICT COMPLIANCEWITH ALL CITY OF <br /> ORONO 1,..1ROINANCEb AND STATE OF MJNNEEOTA SU tbOli,* CODE :REW 1REMENTS - <br /> L - <br /> PLI ANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />