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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 Permit Number: PLUMBING <br /> Crystal Bay, Minnesota 55323 008547 <br /> (612)473-7357 11/05/96 <br /> Date Issued: <br /> SITE ADDRESS: <br /> 2040 WEBBER HILLS RD <br /> JG <br /> P . I . N . . 03-117-23-34-0016 <br /> DESCRIPTION: <br /> 1 FIXTURE <br /> Plumbing Permit. Type FIXTURES <br /> Plumbing Work Type REPLACE EXISTING <br /> G <br /> 1 WATER HEATER <br /> ER <br /> REMARKS: <br /> FEE SUMMARY: <br /> )Ai..0 I I ON $ O <br /> Base Fee $35 . 00 MAIL IN $1 Fdi <br /> Surcharge 1 .50 Total Fee $37 . 00 <br /> Subtotal $35 . 50 <br /> CONTRACTOR: - Applicant ._. OWNER: <br /> CUSTOM PLUMBING, INC . 24490147 RILEY E I L_E EN <br /> P . O . BOX 694 204(' WEBBER HILLS RD <br /> LONG LAKE _ Mt' SS3S6 ORONO _ t�N w3S6 <br /> (612) 449-0147 4t'5-0.f 1t- <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br /> SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF <br /> L ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS . J <br /> A/144j - <br /> 0444_44, <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />