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� w <br /> PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po2242 <br /> Crystal Bay, Minnesota 55323 Permit Type: FiXtures <br /> (612) 249-4600 Date Issued: 3�24�00 <br /> SITE ADDRESS: 35o North Arm La <br /> MOUND,MN 55364 <br /> PID: 06-117-23-24-0014 <br /> DESCRIPTION: <br /> �-,--��_, <br /> PCOpOSeCl USe: nc�iuciiiiai <br /> Permit Class: Plumbing <br /> Permit T e: Fixtures Permit Sub-type(s): Water Closet <br /> YP Lavatory <br /> Bathtub <br /> ��e�r__ <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SU1111MARY: Permit Fee: $ 52.50 Valuation: $ 4,200.00 <br /> State Surcharge Fee: $ 2.10 <br /> 1 Cl 1 AL r��: � 54.60 <br /> APPLICANT: LEvaF�rr sRos OWNER: Jorr M PENOLETorr <br /> 12700 BASS LAKE RD 350 NORTH ARM LA <br /> MAPLE GROVE,MN 55369 MOUND MN 55364 <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 <br /> STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS. <br /> �� � � � <br /> � � � <br /> APPLI ANTPERMITEE IGNATURE SSUEDBYSIGNATiJRE �� ,�/ <br /> !� <br /> Copies: City,Applicant,Assessor, Finance Page 1 <br />