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PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: p0948o <br /> Crystal Bay, Minnesota 55323 Permit Type: Fixtures <br /> (952) 249-4600 Date Issued: <br /> 12/12/2005 <br /> SITE ADDRESS: 4445 North Shore Dr Unit# <br /> Mound,MN 55364 <br /> PID: 07-117-23-31-0001 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): Gas Line Inspection <br /> Multiple Fixtures <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Pernut Fee: $ 200.00 valuation: $ 16,000.00 <br /> State Surcharge Fee: $ 8.00 <br /> TOTAL FEE: $ 208.00 <br /> APPLICANT: Jerry's Plumbing, Inc. OWNER: James&Margaret Kelly <br /> 3731 Thurston Ave.N 5240 Nolan Dr. <br /> Anoka,MN 55303 Minnetonka,MN 55343 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPUANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> � ,� ; <br /> % �i���_ <br /> 4 � � � -� '�,c� C� �—'�`'(, L.� <br /> AP ICANT PERMITEE SIGNATURE }—r ISSUED BY SIGNATURE <br /> Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />