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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 t�1 I LD I NG <br /> Crystal Bay, Minnesota 55323 Permitumber: �y7768 <br /> (612)473-7357 Date Issued: {y 12 j9 E. <br /> SITE ADDRESS: <br /> 2.590 WATERTOWN RD <br /> LSV <br /> P . I . N. . 33-118-23-44-0042 <br /> 23-44-c'042 <br /> DESCRIPTION: <br /> KITCHEN REMODEL <br /> Building Permit Type SF-ADD/REMODEL <br /> Building Work: Type RENOVATE/REMODEL <br /> UBC Occupancy R-3 <br /> Construction Type VN <br /> Census Code 434 ALT . RESIDENTIAL <br /> REMARKS: <br /> SEPARATE PERMIT REQUIRED FOR PLUMBING. STATE PERMIT REQUIRED FOR ELECTRICAL <br /> FEE SUMMARY: <br /> VALUATION $15, 000 <br /> Base Fee $224. 75 <br /> Surcharge ---------lz-a i <br /> Total Fre $232. 22 <br /> CONTRACTOR: - Applicant - ST . LIC: OWNER: <br /> MG C:ORNEL I t S E:LDR 1933081: , -5718 S JES r; ROBERT <br /> 8911 MERRIAM RD 21590 WATERTOWN RD <br /> M I NNE T ONKA MN 55305 ORONO MN 55356 <br /> (512) 9:33-081:3 (61)47:3-5698 <br /> 77 <br /> THE UNDERSIGNED .HERESY REQVEe PE�iMI5-ICS :`� M E 'THE $ <br /> L ' , L <br /> ALLKIN STRICT LIASPECIFIED AND AGREES T - QI�GORONO ORDINANCES AND STCEMIWESOTABUIL <br /> 'I <br /> APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />