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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 €iMi`tI NG <br /> Crystal Bay, Minnesota 55323 Permit Number: <br /> (612)473-7357 Date Issued: 06/05/98 <br /> SITE ADDRESS: <br /> 480 OLD LONG LAKE RD <br /> CH <br /> P. ! . f . . *7'1=-11R-23-34-0011 <br /> DESCRIPTION: <br /> VACUUM BREAKER <br /> Plumbing Permit Type VACUUM BREAKER <br /> Plumbing Work Type RESIDENCE <br /> REMARKS: <br /> FEE SUMMARY: <br /> VALUAT ION $150 <br /> Base Fee $35 .00 <br /> Surcharge <br /> Total Fee $35 . 50 <br /> CONTRACTOR: - Applicant - OWNER: <br /> MACK PLUMBING 24248455 LEJEUNE jNE MR <br /> 11 274 72ND AVE N 480 OLD LONG LAKE RD <br /> MAPLE GROVE MN 5 3E' rRONi� MN 55391 <br /> (61'') 424-8455 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THEA REAL IMPROVEMENTS <br /> SPECIFIED AND AGREES TO DD. ALL WORK IN STRICT COMPLIANCEWITS>w A :1 C T' F,. <br /> ORONO ORDINANCES AND STATE OF (I NNESOTA BUILDING CODE R" 1i� TSF. , _. <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE -44? _ <br />