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.� ._� PERMIT <br /> �TY OF ORONO Permit Number: <br /> . 2'750 Kelle Parkwa - PO Box 66 Po�2�2 <br /> Y Y <br /> Crystal Bay, Minnesota 55323 Permit Type: Fixtures <br /> (952) 249-4600 Date Issued: 3ili2ooa <br /> SITE ADDRESS: 1675 Shadywood Rd <br /> WAYZATA,MN 55391 <br /> PID: i�-ii�-23-2i-0004 <br /> DESCRIPTION: <br /> Proposed Use: Kesidential <br /> Permit Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): water Heater <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 15.00 <br /> Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> Misc.Fee: $ 1.50 <br /> TOTAL FEE: $ 17.00 <br /> APPLICANT' Norblom Plumbing Co. OWNER: �CHARD O NORiJM&WIFE <br /> � 2905 Garfield Avenue S. 1675 SHADYWOOD RD <br /> Minneapolis,MN 55408 WAYZATA MN 55391 <br /> THE UNDIItSIGNID HIItEBY REQUESTS PERMISSION TO MAKE THE REAL IlVIPROVEMENTS SPECIFTED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W1TH ALL CITY OF ORONO ORDINANCFS AND Sf ATE OF <br /> MINNESOTA BUII,DING CODE REQUIREIVIII�ITS. <br /> APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE <br /> Copies: 1-File(Si�nitures Reauiredl. 1-Anvlican� 1-Monthlv Renorts. 1-Assessine, 1-Finance Page 1 <br />