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PERMIT <br /> GITY�OF ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: po9943 <br /> Crystal Bay, Minnesota 55323 Permit Type: Vacuum Breaker <br /> (952) 249-4600 Date Issued: <br /> 6/5/2006 <br /> SITE ADDRESS: 1485 Green Trees Rd Unit# <br /> Wayzata, MN 55391 <br /> PID: 11-117-23-23-0011 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: Plumbing <br /> Permit Type: <br /> Vacuum Breaker Permit Sub-type(s): Vacuum Breaker <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> RPZ valve for lawn irrigation <br /> FEE SUMMARY: Pernut Fee: $ 15.00 vaivation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> Misc. Fee: $ 1.50 <br /> TOTAL FEE: $ 17.00 <br /> APPLICANT: Weld&Sons Plumbing Company,Inc. OWNER: Patricia Clouser Revocable Trust <br /> 3410 Kilmer Lane N 1485 Green Trees Rd <br /> Plymouth,MN 55441 Wayzata,MN 55391 <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 /> � <br /> �,��t--�t.� �. �9rn---Q—� <br /> APPL[CANT PERMITEE SIGNATURE UED BY SIGNATURE <br /> Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />