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�` PERMIT <br /> CITY OF ORONO Permit ►vumber: <br /> 2750 Kelley Parkway - PO Box 66 Posss� <br /> Crystal Bay, Minnesota 55323 Permit Type: FiX�ures <br /> (952) 249-4600 Date Issued: s�2s�2oo2 <br /> SITE ADDRESS: 4365 North Shore Dr <br /> Mound,MN 55364 <br /> P I D: 07-117-23-43-0031 <br /> DESCRIPTION: <br /> Proposed Use: Kesidential <br /> Permit Class: Plumbing <br /> Pernut Sub-type(s): Water Sofiner <br /> Permit Type: Fixtures <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 15.00 <br /> Valuation: $ 495.00 <br /> State Surcharge Fee: $ 0.50 <br /> Misc. Fee: $ 1.50 <br /> TOTAL FEE: $ 17.00 <br /> APPLICANT: CustomPlumbing OWNER: Nicholas&Sandra Summers <br /> 815 Niagra Lane 4365 North Shore Dr <br /> Plymouth,MN 55447 Mound,MN 55364 <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 /> %�G��.�� � Ca?,,�,,�_ <br /> APPLICANT PERMITEE SIGNATURE ISSUED, SIGNATURE <br /> Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 <br />