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� - ' PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: P09120 <br /> Crystal Bay, Minnesota 55323 Permit Type: <br /> Fixtures <br /> (952) 249-4600 Date Issued: 8/29/2005 <br /> SITE ADDRESS: 4030 Elm St Unit# <br /> Long Lake,MN 55356 <br /> P��� 06-117-23-41-0072 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): Multiple Fixtures <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> li . <br /> FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 2,100.00 <br /> State Surcharge Fee: $ 1.05 <br /> TOTAL FEE: $ 36.05 <br /> APPLICANT: Freedom Mechanical(See Comments) OWNER: Mr&Mrs George Roscoe <br /> 11135 Hwy. 7 4030 Elm St <br /> Watertown,MN 55388 Long Lake MN 55356 <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 STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> � �� � ��� <br /> �"� � ���./ .��� ( �/ , .�lC. �� <br /> �C'--z.-' � -r�-� � �%a;�_ i� <br /> APPLICANT PERMITEE SIGNATURE ISSU/ ED By SIGNATURE <br /> Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(�f Septic, 1-Septic) Page ] <br />