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2004 - P07921 - vacuum breaker
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2775 White Oak Cir - 04-117-23-42-0015
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2004 - P07921 - vacuum breaker
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Last modified
8/22/2023 5:14:00 PM
Creation date
2/3/2020 12:53:17 PM
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x Address Old
House Number
2775
Street Name
White Oak
Street Type
Circle
Address
2775 White Oak Cir
Document Type
Permits/Inspections
PIN
0411723420015
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• 1 PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 P07921 <br /> Crystal Bay, Minnesota 55323 Permit Type: Vacuum Breaker <br /> (952) 249-4600 Date Issued: 9/7/2004 <br /> SITE ADDRESS: 2775 White Oak Cr <br /> Long Lake,MN 55356 <br /> PID: 04-117-23-42-0015 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: Plumbing <br /> Permit Type: Vacuum Breaker Permit Sub-type(s): Vacuum Breaker <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> Backflow to lawn irrigation <br /> FEE SUMMARY: Permit Fee: $ 15.00 <br /> Valuation: $ 150.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 15.50 <br /> APPLICANT: Leon Duda Plumbing OWNER: James&Jackie Larson <br /> 208 17Th Ave N 2775 White Oak Cr <br /> Hopkins,MN 55343 Long Lake,MN 55356 <br /> THE UNDERSIGNED HE.. BY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO PO AL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA B i I I GI .DE REQUIREMENTS. <br /> t I , g1 <br /> APP IC•NT 'ERMITEE SIG ATURE ISS D BY SIGNATURE <br /> Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 <br />
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