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CITY OF ORONO PERMIT TYPE: 40070& WATER <br />1335 Brown Rd South • P.O Box 66 Permit Number ')4/1 S/AS <br />Crystal Bay, Minnesota 55323 Date Issued <br />(612) 473-7357 <br />SITE ADDRESS: 1270 BRIAR ST <br />IP.I.N.: 10-117-23-31-0038 <br />DESCRIPTION: <br />Sewer R Water Permit Type SEWER C:ONNEC:TION <br />Sewer & Water Work Type RENOVATE/REMODEL <br />FEE SUMMARY: <br />Base Fee $.00 SEWER CONNECTION --------*aQ_QQ <br />Surcharge ---------- 1-59 Total Fee $30.50 <br />Subtotal $ . SO <br />CONTRACTOR: OWNER: <br />-- Applicant. -- <br />SULLIVAN'S SERVICES INC S4734300 MATTILA DIANNE <br />3660 HWY 101 S BOX 108 <br />WAYZATA MN SS391 CRYSTAL BAY MN 55323 <br />(611) 472-4300 (612)476-0666 <br />REMARKS: <br />(— THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br />SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMF'LIANC:E WITH ALL CITY OF <br />L ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br />APPLICANT!PERMITEE SIGNATURE ISSUED SI TUBE <br />J <br />