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� �ITY OF ORONO PERMIT <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Posis9 <br /> Crystal Bay, Minnesota 55323 Permit Type: FiXcures <br /> (952) 249-4600 Date Issued: s�s�2oo2 <br /> SITE ADDRESS: 1770 Shadywood Rd <br /> Wayzata,MN 55391 <br /> PID: 17-117-23-21-0023 <br /> DESCRIPTION: <br /> Proposed Use: Kesidential <br /> Pernut Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-rype(s): Water Heater <br /> DE7AILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 15.00 <br /> Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> Misc. Fee: $ 1.50 <br /> TOTAL FEE: $ 17.00 <br /> APPLICANT: Norblom Plumbing Co. OWNER: Sue Henderson <br /> 2905 Garfield Avenue S. 1770 Shadywood Rd <br /> Minneapolis, MN 55408 Wayzata MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI IE 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 /> �� :��"�,r'' �� ���L��t�-�Yf <br /> A PLICANT PERMITEE SIGNATURE I� ED BY S[GNATURE <br /> Copies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 <br />