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4 <br />CITY OF ORONO <br />2750 Kelley Par.( -;.fay • P.O. Box 815 <br />Orono, Minnesota 55356-0815 <br />(612) 473-7357 <br />SITE ADDRESS: <br />10 50 <br />CH <br />P. I <br />DESCRIPTION: <br />PERMIT <br />PERMIT TYPE: <br />Permit Number: 0BUILDING <br />i�i.59a9 <br />Date Issued: <br />(.)4/:l /94 <br />COX FARM RD <br />NEW RESIDENCE <br />Building Permit Type SGL FAMILY -NEW <br />Building Work Type RESIDENCE <br />VBC Occupancy R--3 <br />Construction Type VN <br />Zaning RR -1A <br />CITY OF 0fiW <br />FINWE OFFICE <br />1313100000 <br />01 [a 1045.50 <br />1350100000 <br />01 6EN 679.59 <br />1«'x10040 <br />01 CFM 107.70 <br />TOTAL 19.79 <br />lam 123 -2 -v - <br />REMARKS: CHECK •A6 <br />RECCIFT-TMW YOU <br />T 5:3C <br />4:PARA-1F PE ;M I 1'=; r•;E_t;1!_J I kED FOR PLUMBING. MECHANICAL, SEPTIC, F LF _..: I�L31 A.e'd <br />Base Fee <br />Plan Review <br />Surcharge <br />Total Fee <br />CONTRACTOR: <br />L_ <br />VALLIA1ICIN $21S,400 <br />$1,045.50 <br />$679.68 <br />__-_ _�l�Z..Zr► <br />$1,832. 7,3 <br />OWNER: - Applicant - <br />F & T CONSTRUCTION <br />44SS HWY 169 <br />PLYMOUTH MN SS4A' <br />5.5111-I.r_'"0 <br />THE UNOERS I GNED HEREBY REQtJ ~'="T' P RM I';;'3I i IN Ti i PNaKE: THE ` EAI- I MPROVFMEN T <br />SPECIFIED AND AGREE` 70 CACI ALL. WrIRK IN `:1*R I C;1* C 0ME't_ I ANC:E WITH ALL -CITY OF <br />ORONI_I ORO I NANCES ANO ' TATE t tF r1 I NNE'=,O'TA B! t I LO I Nt:i CODE REQ 1 I REMEN T' . J <br />APPLICANT'PERMITEE SIGNATURE <br />r.m <br />.. �_�% I NO, - - - N, <br />ISSUED BY SIGNATURE <br />