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� ' � PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: p09768 <br /> Crystal Bay, Minnesota 55323 Permit Type: Fixtures <br /> (952)249-4600 Date Issued: <br /> 4/19/2006 <br /> SITE ADDRESS: 1620 Shadywood Rd Unit# <br /> Wayzata,MN 55391 <br /> P��� 17-117-23-21-0012 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: Plumbing <br /> Permit Type: <br /> Fixtures Pemut Sub-type(s): Water Heater <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Pernut Fee: $ 15.00 valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> Misc.Fee: $ 1.50 <br /> TOTAL FEE: $ 17.00 <br /> APPLICANT: Norblom Plumbing Co. OWNER: John Ericson <br /> 2905 Garfield Avenue S. 1620 Shadywood Rd <br /> Minneapolis,MN 55408 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 /> Cfi�L���,.C-� <br /> APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE <br /> Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 <br />