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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 F`LUt.;::;T N <br /> Permit Number: <br /> Crystal Bay, Minnesota 55323 008 028 <br /> (612) 473-7357 Date Issued: <br /> SITE ADDRESS: <br /> :3.20 WOi iOH I LL RD <br /> .ER <br /> F ..`I . N . , 02-117-23-13-0005 <br /> DESCRIPTION: <br /> IRON FILTERS <br /> Plumbing Permit Type FIXTURES <br /> t`Iur.+gybing Work Type RFNI:iVi TE/FE ii_;DEL <br /> 2 UNDEFINED <br /> REMARKS: <br /> FEE SUMMARY: <br /> VAI UA T I IJi4 $3, 200 <br /> 0 <br /> Base Fee $40 . 00 <br /> Surcharge 1 ..LfEc! <br /> Total Fee $41 . 50 <br /> CONTRACTOR: _ Applicant _ OWNER: <br /> C:LEARWATER =;`.':=,- «_.t f ' 2.44044E, CONNFR JOSEPH <br /> iSEF`H <br /> 1519 i1519 148TH AVE NW 30 '4OItuHILL FO <br /> ANDOVER OVER MF 55 304 ORONO N f MN 55391 <br /> t <br /> (612) 434-04.4.5 <br /> II <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br /> SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY Ot- <br /> L_ BUILDING ORONO I�#.` NA AND STATE OF MINNESOTA (:O E REQUIREMENTS. <br /> Ajrn cce_k___ (Q7)7144, <br /> / • ' ICAIVT/PERMITEE SIGNATURE <br /> ISSUED BY:SIGNATURE <br />