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CITY OF ORONO PERMIT <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po3426 <br /> Crystal Bay, Minnesota 55323 Permit Type: F�XtUres <br /> (612) 249-4600 <br /> Date Issued: �2i22i2o <br /> SITE ADDRESS: 855 Partenwood La <br /> LONG LAKE, MN 55356 <br /> P I D: OS-117-23-34-00 l 2 <br /> DESCRIPTION: <br /> � ,__��_, <br /> Pl'OpOS2d USe: nc�iuciiiia� <br /> Permit Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): Water Heater <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 <br /> Valuation: $ 600.00 <br /> State Surcharge Fee: $ 0.50 <br /> Misc. Fee: $ 1.50 <br /> TOTAL FEE: $ 37.00 <br /> APPLICANT: Norblom Plumbing Co OWNER: SHAIKH ASIM GUL <br /> 2905 Garfield Ave South 855 PARTENWOOD LA <br /> Minneapolis, MN 55408 LONG LAKE MN 55356 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF[ED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> �. � ' � - /`1 � ( �� �'s�"y'�� % �� %� <br /> APPLI ANT PERMITEE SIGNA7'URE IS UF,D BY SIGNATURE <br /> Copies: City,Applicant, Assessor,Finance Page 1 <br />