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PERMIT <br /> 4 CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway - P.O. Box 66 <br /> Permit Number: <br /> vi4, , <br /> Crystal Bay, Minnesota 55323 , <br /> (612) 249-4600 Date Issued: <br /> SITE ADDRESS: <br /> .......... n.--. Lf-, <br /> 1 2(.1 ORONO ORCHAHu Nu .7..., <br /> c:H <br /> 0.2-1 17-2:::.-21-0033 <br /> DESCRIPTION: <br /> TNciIDF SEWER CONNECT -- <br /> Plumbi - :.- - -vo,... UNDEFINED <br /> .ng r.emit L , .... _ _,,_ ,.....,..ica. <br /> Plumbing Work Type F.,;..t.:.,.1.Dt....,... .... <br /> REMARKS: <br /> FEE SUMMARY: <br /> VALUA7ION $719 <br /> Rase Fee $35 . 00 <br /> Surcharge <br /> 1,..„....._:.:. <br /> Air Total Fee $35 . 50 <br /> CONTRACTOR: „ _ — APplicant — OWNER: <br /> Dif,slY PARL. f:—....A.—frsiS , . 24734.03 MERCHANT <br /> ORONu Lc1.. ,, „_ ,, <br /> 520 RF!IMHALL_ AVE 294 120 UN-.L.HANu <br /> iON6 LAKE MN 55356 ORONO MN 55391 <br /> (612) 473-8403 , . <br /> , Fpm, Eptwrs <br /> THF uNDERSIGNED 'HEREBY REQUESTS tERIOStION TO MREAL iii <br /> ME THE -WITHL : ___ <br /> iciFIED AND AGREES To DO .EILL WuRKJN -STRICT', CPMF1:..-1ANCE' - -A4,'CITY /IF <br /> CRI-4n ORDINANCES AND bTATE OF MINNESOTAYSUILDING Cubt' REQU-TE,r1E!*,T! <br /> f ,,;. ' , - <br /> ... <br /> L . , _LI- <br /> ietei4te.)<- - Q.,4451,t. 4, <br /> 0 / - <br /> APPLICA ERMITEE SIGNATURE <br /> N'(\. IIIIIIIIIPta . <br /> 40- ISSUED BY:SIGNATURE / e....4 <br />