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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway - P.O. Box 66 F'i i iME. Nt3 <br /> Crystal Bay, Minnesota 55323 Permit Number: ,.�1 1•T��^'1' <br /> • (612) 473-7357 Date Issued: ty ,,=17/99 <br /> SITE ADDRESS: _ <br /> 485 ORONO ORCHARD RD _ <br /> MJ <br /> P <br /> . _ . N. . 02-1 -29_ 32-0001 <br /> DESCRIPTION: <br /> = � FIXTURES <br /> Flumhing Permit Type Fl T. iES <br /> Plumbing Work Type SEF -, fFIE1 7 J <br /> ; <br /> .r WATER CLOSEf 9 LAVATORY 4 B }HiUR <br /> I SHOWER SFR 1 KITCHEN SINK 1 DISPOSAL <br /> ! DISHWASHER 4 Sri i IC :;:_ 1. SEWER E}Et_T U <br /> LAUNDRY TRAY 1 WASHER I WATER HEATER <br /> REMARKS: <br /> FEE SUMMARY: <br /> t:,'A t_AitorN $40,000 • <br /> Rasp Fee $500 . 00 <br /> t C-J <br /> ��:urchai'°Surcharge ',�a{� <br /> Tota Fee e 820 , 00 <br /> CONTRACTOR: - Applicant - OWNER: <br /> HOW)E '-'L__;t3 HTG INC28458881 i.— i THEODORE <br /> 2222 - AVE : 485 ORONO ORCHARD RD <br /> M i N NE POL I'r MN 884 26 ORONO MN ....,, 1 <br /> (61 ')s 54. -8=81 <br /> THE UNDERSIGNED HEREBY REQUESTS F'EF.r l !ION Tti MAKE THE REAL IMFRO)EMEr T'E <br /> SPECIFIED AND AGREE= TO DO <br /> - ALL WORK IN ;IRICT COMPLIANCE WITH -ALL <br /> ITH ALL CITY <br /> ITY DF <br /> iRiNO ORDINANCES AND STATE .ALL <br /> MINNESOTA -BUILDING CODE REQUIRMENTS. <br /> L_ <br /> J <br /> /141%-/4- 89 7)3i <br /> APPLICANT/PERMITEE SIGNATURE SUED BY:SIGNATURE <br />