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A T' PERMIT LO- <br /> CITY <br /> OF O RO N O Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 P02112 <br /> Crystal Bay, Minnesota 55323 Permit Type: Fixtures <br /> (612) 249-4600 <br /> Date Issued: 3i3i00 <br /> SITE ADDRESS: 4750 North Shore Dr <br /> MOUND,MN 55364 <br /> PID: 07-117-23-32-0010 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): Water Heater <br /> DETAILS: <br /> Approved per resolution 9: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 <br /> Valuation: $ 400.00 <br /> State Surcharge Fee: $ 0.50 <br /> Misc.Fee: $ 1.50 <br /> TOTAL FEE: $ 37.00 <br /> APPLICANT: Norblom Plumbing Co OWNER: JAMES R THOMSON ETAL <br /> 2905 Garfield Ave South 4750 NORTH SHORE DR <br /> Minneapolis, MN 55408 MOUND MN 55364 <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 <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> J� �7 <br /> APPLICANTPERMITEE SIGNATURE 1,WIEDBY SIGNATURE <br /> Copies: City,Applicant,Assessor,Finance Pagel <br />