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PERMIT <br /> CIT� O� ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: P11079 <br /> Crystal Bay, Minnesota 55323 Permit Type: Fixtures <br /> (952)249-4600 Date Issued: <br /> 6/5/2007 <br /> SITE ADDRESS: 1880 Shadywood Rd unit# <br /> Wayzata,MN 55391 <br /> PID: 17-117-23-24-0004 <br /> DESCRIPTION: <br /> Proposed Use: Residenrial <br /> Permit Class: Plumbing <br /> Permit Type: <br /> Fixtures Pernut Sub-type(s): Multiple Fixtures <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 75.00 valuation: $ 6,000.00 <br /> State Surcharge Fee: $ 3.00 <br /> Misc.Fee: $ 1.50 <br /> TOTAL FEE: $ 79.50 <br /> APPLICANT: Blaylock Plumbing Co. OWNER: Rhonda Omlie <br /> 7731 -4th Ave S 1880 Shadywood Rd <br /> Richfield,MN 55423 Wayzata,MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> `��� v�`- <br /> APPLICANT PERMITEE SIGNATURE I D BY SIGNATURE <br /> Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />