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PERMIT <br /> 4 WY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway • P.O. Box 815PLUMBING <br /> Orono, Minnesota 55356-0815 Permit Number: 005074 <br /> (612) 473-7357 Date Issued: 04/21/93 <br /> SITE ADDRESS: <br /> 847 TI iNKAWA RD <br /> .FB <br /> P. I . N. ; 08-117-23-21-0003 <br /> DESCRIPTION: <br /> _' FIXTURE <br /> Plumbing Permit Type FIXTURE <br /> Plumbing Work Type RENt3VATE/REMODEL <br /> 1 WATER CLOSET 2 LAVATORY 1 BATHTUB <br /> 1 SHOWER 1 KITCHEN INK 1 DISPOSAL <br /> 1 DISHWASHER <br /> CIT}` OFforFINAICE > <br /> 1,?13.;3tt>�4>� <br /> 01 &EN 9 .50 <br /> 1ji3300404 <br /> REMARKS: ' CEN •y# <br /> 12tt20f0100t}t' { 1 <br /> L,q,.CK TL T • d <br /> FEE SUMMARY: #121-110360 <br /> jj R PEt1JP� T-�7 i ''ti{ I j / <br /> #121 0360 4001 'q0i ill:U <br /> VALUATION $7,241 04 <br /> Base Fee $90 .51 <br /> Surcharge ---------*a-Ez <br /> Total Fee $94. 1: <br /> CONTRACTOR: - Applicant - OWNER: <br /> AAA ABBOTT PLBG HTG 23 13711 COLLINS GEORGE <br /> 112E. SND STREET NE 847 TONKAWA RD <br /> MINNEAPOLIS MN 5541=: LONG LAKE MN 55356 <br /> (61*21) 31-:=711 <br /> THE E �6I"D 1�R��Y �, �.<��� �I� �1. E THS # � +����T�„ <br /> SECX1= ED .A �. # l ` GTY <br /> PLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />