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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway • P.O. Box 815 Permit Number: 00571�7NL <br /> Orono, Minnesota 55356-0815 Date Issued: 11/t}:_;/a 3 <br /> (612) 473-7357 <br /> SITE ADDRESS: <br /> T 1 iNKAWA RD <br /> CH <br /> DESCRIPTION: <br /> 18 F I XTIJRE <br /> P1urrlbi}zg P rrnit• Type FIXT1JR[_ <br /> PIurfibi }ig Wc'rl:' Type AI_DI; ON <br /> WATER C:L0!_:',ET - LAVATORY 2 BATH F(JB <br /> I SHOWER I K I TCCHEN SINK 1 DISPOSAL <br /> 1 D I'=',HWASHER - I LLC:OCKS 2 LAUNDRY TRAY <br /> 1 WASHER 1 WATER HEATER 1 WATER SCiFTNER <br /> REMARKS: <br /> FEE SUMMARY: <br /> VAUJAT 113N $4,000 <br /> c ia<!%t illi•i :i '�T'j••�' <br /> _•� ^{} "f* �y',11fNATf•L Lt ! AVL TAirAAA # <br /> 2 y (}(} V 1. L.?—. !T1 50. <br /> 114 <br /> T1_1t•al Fe ; t;'friti <br /> 1:::t..c_vvvvv <br /> ff4 iCu <br /> V1 L'LlT ,sv <br /> 'itL 1'A' Tl <br /> Z::7, it <br /> L•!11-L11% 1 L ..a V <br /> 11L VLit t !!l/1J Tt1 1VV <br /> Tli..U7 di.V LVV1 11V1 I+Y+}}��� YjJL <br /> i i ll. Q/T <br /> CONTRACTOR: - App I i c a}it• - OWNER: <br /> k H� t & PLB(3, INC: 2477 E:0 HOL!"I AFihlE <br /> GO 11 LONE OAK RD 525 TONKAWA RD <br /> Rl_lS:}.F�_3fiC MN SS31*:=: ORONt_ MN 55 Sf; <br /> (r 12) 477—tY'iSOS <br /> I*f� ERS S GN ICY RE PER <br /> I SS I i TCS"MA `E THE REAL ��#1='R' �IS <br /> z ,+ <br /> MPEG IFE4 !C? 5 ALL.,Will : TFt ICT,' C�4►MF`l.I F� 17 I ,C T1 # <br /> � �`�� � ttE� A?. <br /> n . <br /> G <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE �Li' <br />