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MW <br /> PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 P03401 <br /> Crystal Bay, Minnesota 55323 Permit Type: Fixtures <br /> (612) 249-4600 Date Issued: 12/18/20 <br /> SITE ADDRESS: 4784 North Shore Dr <br /> MOUND,MN 55364 <br /> PID: 07-117-23-32-0012 <br /> DESCRIPTION: <br /> Proposed Use: i`c�iuciivai <br /> Permit Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): Lavatory <br /> YP Floor Drains <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 25.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: FRANK KOUBSKY OWNER: S A SCHAUER&F E KOUBSKY <br /> 4784 NORTH SHORE Dr 4784 NORTH SHORE DR <br /> MOUND,MN 55364 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 <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> I <br /> ICANVPERM <br /> ITEE SIGNATU SSUED BY SIGNATURE <br /> Copies: City,Applicant,Assessor,Finance Pagel <br />