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PERMIT <br /> CITY OF ORONO PERMIT TYPE: >".ttILIIt.IC; <br /> 1335 Brown Rd. South • P.O. Box 66 Permit Number: ?!:�•= =a.t_: <br /> Crystal Bay, Minnesota 55323 Date Issued: 017i/ 19191. <br /> (612) 473-7357 <br /> SITE ADDRESS: <br /> WATERTOWN <br /> .,, RD <br /> LSV <br /> P. I . N. : 31-118-/7-'3-13--000:34S <br /> 1-1 8_.,::'3`.1::�--i�t/!i:� <br /> DESCRIPTION: <br /> 2ND FLOOR REMODEL <br /> Building Permit _Type ::F._ADD/REi1O+GEL <br /> Bu2ilIJi3-JJ Wta3 r: TYt ADDITION <br /> UizI : Occupancy 88 <br /> (:c,-Is f.ri4ct•it-1r1 Type VN <br /> CI TY OF ORONO <br /> ! 1 t Rt 4L OFFICE <br /> I.L <br /> 1,113100000 7l <br /> V1 Li-Nt 1 42.00 <br /> 1 {t10V0t00 # <br /> REMARKS: 01 OEN 105.30 <br /> SEPARATE STATE PERMIT FES:t_1IRED FOR ELECTRICAL S 2L:i000Vb <br /> # <br /> ,;i ; N I aal 50 <br /> V1 VL! <br /> CHECK IL 374.90 <br /> FEE SUMMARY: tiALUATION $1S 000 RECEIPT—<< f� YOU <br /> ` VVinVT <br /> -r <br /> rr4.4...740twVA 1i•,i,r <br /> Base 09`1 ri y1 <br /> Base Fee $16.4 .00 <br /> Plan Review $105. 30 <br /> Surcharge $2 5'•' <br /> Total Fee $274 . 80 <br /> CONTRACTOR: OWNER --- Applicant -- <br /> 4345 WA t ERTOWN RD <br /> i E;=i}JNO _ _ MN 55359 <br /> (612)473— <br /> �s t`f r sa e t o „RE Ni <br /> ,z ' i WIT° .LOTYO <br /> �„ f � <br /> �a. y , q "k„ auy n fro, <br /> F <br /> \ I N ,ip +0f (if TS <br /> ~k-"` _,_ a+, .,,,,. ,..z „,,,,,,,,,.,7—„,,° ,,,,,,,::,,,,,,,,,,74%,,,,,\n.\" w i4 .s. a. ; a... f <br /> APPLICANT/PERMITEE SIGNATURE , / ISSUED BY:SIGNATURE (1.14....4,_..) <br />