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PERMIT <br /> prr,jit.OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 T T <br /> Permit Number: <br /> Nt- <br /> Crystal Bay, Minnesota 55323 <br /> Date Issued: <br /> (612)473-7357 <br /> SITE ADDRESS: <br /> W Y A.IA BLV <br /> jG <br /> . .N 11S-28-22-00 14 <br /> DESCRIPTION: <br /> REMOLEL NTER CIR OFF <br /> Building Permit Type C:0M-AD R 0 E L <br /> Building Work lype ENOVATREMODEL <br /> URC Occupancy <br /> ti cm Ty : . <br /> Census Code 4:3 7 Ai_T <br /> REMARKS: <br /> SEF'ARATE PPM IT RFQUIRED FROM THE --:JATE FDR ELPCTRICAL <br /> FEE SUMMARY: <br /> VALUATION $8, 000 <br /> Base Fee $137 . <br /> Plan Rvlew $S . 21 <br /> Surcharge IP 00 <br /> Total FPe $230 . 46 <br /> CONTRACTOR: OWNER: -. Applicant - <br /> 0 I C L I FE 0 <br /> WAYZATA ELVD <br /> ORONO <br /> THE UNDERSIGNED HEREBY REQUESIS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br /> SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPi IANCE WITH ALL CITY OF <br /> ORONO OROINANCFS ANO STATE OF MINNESOTA RUILDING COOE REQUIREMENTS . <br /> A( / <br /> 41, <br /> - - - <br /> •r CA PP RMITEE SIGNATURE ISSUED BY:SIGNATURE <br />