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• ti PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: P02232 <br /> Crysta' Bay, Minnesota 55323 Permit Type: Fixtures <br /> (612) 249-4600 Date Issued: 3/23/200 <br /> SITE ADDRESS: 850 Willow Dr N <br /> LONG LAKE, MN 55356 <br /> PID: 27-118-23-33-0021 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): Water Softner <br /> YP Plumbing Undefined <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> 1 WATER SOFTNER 2 MISC <br /> FEE SUMMARY: Permit Fee: $ 36.25 Valuation: $ 2,900.00 <br /> State Surcharge Fee: $ 1.45 <br /> Misc. Fee: $ 1 50 <br /> TOTAL FEE: --$39:20-- 37 Taj <br /> APPLICANT: CLEARWATER SYSTEMS INC OWNER: T D CARLSON&J A CARLSON <br /> 1519 148TH AVE NW 38 ADDRESS UNASSIGNED <br /> ANDOVER,MN 55304 MN 00000 <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 /> i - <br /> >//V, <br /> w ,v"L NT PERMITEE I NATURE ISSUED BY SIGNATURE <br /> Copies: City,Applicant,Assessor, Finance Page 2 <br />