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PERMIT <br /> CITY OF ORONO <br /> 2750 Kzlley Parkway - PO Box 66 Permit Number: Po69s9 <br /> Crystal L ay, Minnesota 55323 Permit Type: Fixtures <br /> (952) 249-4600 Date Issued: ioi29i2oo3 <br /> SITE ADDRESS: 2735 Shadywood Rd <br /> Excelsior,MN55331 <br /> P I D: 21-117-23-24-0005 <br /> DESCRIPTION: <br /> Proposed Use: Kesicientiai <br /> Pernut Class: Plumbing <br /> Pernut Type: Fixtures Pernut Sub-type(s): Multiple Fixtures <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 56.25 Valuation• $ 4,500.00 <br /> State Surcharge Fee: $ 2.25 <br /> TOTAL FEE: $ 58.50 <br /> APPLICANT: Robillard Plumbing(See Comments) OWNER: Richard&Sue Gay <br /> 10720 Dunkirk Lane N 2735 Shadywood Rd <br /> Maple Grove,MN 55369 Excelsior MN 55331 <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 /> ,; � o i <br /> _ ? /��-�-.�--�, ��""2 '�"�C`(�'�1 ��� <br /> AP LICANT PERMI SIGNATURE ISSUED BY SIGNATURE <br /> Conies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 <br />