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PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 Pos�ss <br /> Crystal Bay, Minnesota 55323 Permit Type: FiXr�es <br /> (�52) 249-4600 Date Issued: ioi2ai2oo2 <br /> SlTE ADDRESS: 2690 Deer Run Tr E <br /> Long Lake,MN 55356 <br /> P I D: 04-117-23-13-0011 <br /> �ESCRIPTION: <br /> Froposed Use: Kesidentiai <br /> Pernut Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): Plumbing Undefined <br /> nErai�s: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> Backflow Preventer for lawn sprinkler <br /> FEE SUMMARY: Permit Fee: $ 15.00 Valuation: $ 175.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 15.50 <br /> APPLICANT: Leon Duda Plumbing OWNER: John Stern <br /> 208 17Th Ave N 2690 Deer Run Tr E <br /> Hopkins,MN 55343 Long Lake,MN 55356 <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 BUI ING CODE REQUIREMENTS. <br /> �I f/l,/�/ ,�,� �,�C�----_�`��'"� <br /> P ICANTPERMI SIGNATURE ISSUEDBYSIGNATURE <br /> Copies: 1-File(Signitures Required). 1-Aoplicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 <br />