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* � <br /> PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P08354 <br /> Crystal Bay, Minnesota 55323 Permit Type: FiX�es <br /> (952) 249-4600 Date Issued: iii2i2oos <br /> SITE ADDRESS: 781 Boulder Dr <br /> Long Lake,MN 55356 <br /> PID: 33-118-23-11-0008 <br /> DESCRIPTION: <br /> Proposed Use: Kesidentiai <br /> Pemut Class: Plumbing <br /> Permit Type: Fixtures Pernut Sub-type(s): Multiple Fixtures <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> also sump pump <br /> FEE SUMMARY: Pernut Fee: $ 62.50 Valuation: $ 5,000.00 <br /> State Surcharge Fee: $ 2.50 <br /> TOTAL FEE: $ 65.00 <br /> APPLICANT: Plymouth Plumbing&Heating OWNER: Dahlstrom Development LLC <br /> 12270 43rd Street NE 7745 Polaris Lane <br /> St. Micheal,MN 55376 Maple Grove,MN 55311 <br /> THE 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 STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE <br /> Copies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 <br />