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PERMIT <br /> C I T�Y O F O RO N O Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 Po29o4 <br /> Crystal Bay, Minnesota 55323 Permit Type: vacuum Breaker <br /> (612) 249-4600 Date Issued: 9�6ioo <br /> SITE ADDRESS: 123 Chevy Chase �r <br /> WAYZATA,MN 55391 <br /> PID: 36-]18-23-41-0017 <br /> DESCRIPTION: <br /> ,-,--.�_, <br /> PI'OpOSOd USO: �c�iucuwai <br /> Permit Class: Plumbing <br /> Permit Type: Vacuum Breaker Permit Sub-type(s): Plumbing Undefined <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 200.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: LEON DUDA PLUMBING OWNER: R E STRAUMAN&K E STRAUMAN <br /> 208 17TH AVE NORTH 123 CHEVY CHASE DR <br /> HOPKINS,MN 55343 WAYZATA MN 55391 <br /> TI-�E UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> � <br /> � ' ) <br /> � _ >c� _ <br /> ,4,�y, ,y�, 4 � i�✓� -�__ / ��'1�1 C L /r� <br /> APPLICANT PERMITEE SI NATURE ISSUED B SIGNATLJRE /�> � <br /> f`�7 <br /> Copies: City,Applicant, Assessor, Finance Page 1 <br />