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a A <br /> CI-FY F ORONO PERMIT <br /> C Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P04737 <br /> Crystal Bay, Minnesota 55323 Permit Type: Fixtures <br /> (952) 249-4600 Date Issued: 12/19/2001 <br /> SITE ADDRESS: 4510 North Shore Dr <br /> Mound,MN 55364 <br /> PID: 07-117-23-31-0029 <br /> DESCRIPTION: <br /> Proposed Use: Fesidentiai <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 /> NOTICESIREMARKS: <br /> FEE SUMMARY: Permit Fee: $ 88.75 Valuation: $ 7,100.00 <br /> State Surcharge Fee: $ 3.55 <br /> TOTAL FEE: $ 92.30 <br /> APPLICANT: North Anoka Plumbing OWNER: Pete&Kathy Sawicki <br /> 22540 Rum River Blvd.N.W. 4510 North Shore Dr <br /> St.Francis,MN 55070 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 /> T <br /> APPeCANTPERMITEESIGNATURE V ISSUED BY SIGNATURE <br /> Conies:1-File(Sienitures Reauired). I-Annlicant 1-Monthly Reports. I-Assessina.1-Finance Page 1 <br />