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- * _ � PERMIT <br /> C I�� �F O RO N O permit Number: <br /> 2750 Kelley Parkway - PO Box 66 P03442 <br /> Crystal Bay, Minnesota 55323 Permit Type: P�umbing�rer <br /> (612) 249-4600 Date Issued: �i3i2ooi <br /> SITE ADDRESS: 583 Park La <br /> LONG LAKE, MN 55356 <br /> PID: 06-117-23-41-0047 <br /> DESCRIPTION: <br /> � ,__.�_, <br /> PPOpOSeC�USO: ►�csiucuuai <br /> Permit Class: Plumbing <br /> Permit Type: Plumbing eter Permit b-type(s): Water Heater <br /> � <br /> DETAILS: / <br /> Approved per resolution#: �' <br /> �" <br /> Separate permits required: % <br /> r` <br /> F' <br /> NOTICES/REMARKS: <br /> �I <br /> FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 900.00 <br /> State Surcharge Fee: $ 0.50 <br /> Misc. Fee: $ 1.50 <br /> TOTAL FEE: $ 37.00 <br /> APPLICANT: Norblom Plumbing Co OWNER: GINA RNELSON <br /> 2905 Garfield Ave South 583 PARK LA <br /> Minneapol�is, MN 55408 LONG LAKE MN 55356 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF�D <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITI-I ALL CITY OF ORONO ORDINANCES AND <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> �% ��'�f // /��/� / � ���� ��YYl�.�'1 �Q y� <br /> ,��� F` !L.- "Y'f' v r I <br /> APPLICANT ERMITEE SIGNATURE ISSUEDBY SIGNATURE <br /> Copies: City,Applicant,Assessor,Finance Page 1 <br />