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� PERMIT <br /> �IYY OF ORONO Permit ►vumber: <br /> 2750 Kelley Parkway- PO Box 66 P10209 <br /> Crystal Bay, Minnesota 55323 Permit Type: VacuumBreaker <br /> (952) 249-4600 Date Issued: 8/14/2006 <br /> SITE ADDRESS: 850 Partenwood Rd Unit# <br /> Long Lake,MN 55356 <br /> PID: 08-117-23-21-0009 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: Plumbing <br /> Permit Type: <br /> Vacuum Breaker Permit Sub-type(s): Vacuum Breaker <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> RPZ Valve <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: E.W.Day Plumbing&Heating OWNER: Robert&Joyce Humboldt <br /> 520 Brimhall Avenue 850 Partenwood Rd <br /> Box 294 Long Lake MN 55356 <br /> 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 /> �'%t�t,� ;� ;� ' � �9',Yx'.c� <br /> APPLICANT PE MITEE SIGNATURE I SUED BY SIGNATURE <br /> r <br /> � <br /> ✓ <br /> Copies: 1-File(Signatures Required), 1-Applicant, I-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />