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PERMIT <br /> CITY OF ORONO _ PERMIT TYPE: PLUMBING <br /> 1335 Brown Rd. South • P.O. Box 66 ter r <br /> Permit Number: 003651 <br /> Crystal Bay, Minnesota 55323 Date Issued: 04/24/91 <br /> (612) 473-7357 <br /> SITE ADDRESS: <br /> 216-S WATERTOWN RD <br /> LSV <br /> P. I .N. . 03-117-32-21-0023 <br /> 023 <br /> DESCRIPTION: <br /> PIUr,It-i--I r' t ErFi t• 'v �V r IXTU�;EL: <br /> P 1 uriib i i-ig ;41c.r k T;=pe RESIDENCE <br /> 3 WATER CLOSET l_I, III\y 2 BATHTUB <br /> I KITCHEN SINk: 1 D I°=::IF"3!=,AL 1 DISHWASHER <br /> 2 S I LLC:C+C KS 1 FU-10F, DRAINS 1 SEWER EJECTOR <br /> 1 LAUNDRY TRAY 1 WA=,p'i't" 1 WATER HEATER <br /> I WATER CLOSET/RI ? iI iH±F=€A7 1 1nI 1 SHOWER/RI <br /> REMARKS: 7p' <br /> f TMIXs�- i i FIff <br /> FEE SUMMARY: 71:71"" <br /> [[jj��''���� <br /> E FL 1 U.W <br /> Base Fee $99.00 r.rCPcrr 7_7441,1 t rr:+ <br /> �• - s, rr** Trial%.,V,JV L•L Yi ljv l t V r•'1L�g <br /> ti u i'`c ha 1 ge ----------1--K) Ft4: ,%!Qi <br /> Total Fee `�9. 50 vir�.�:/A <br /> CONTRACTOR: -- Applicant -- OWNER: <br /> NORTHR I DGE PLE:G CO 4,59115so K ATNER ROBERT <br /> +960 MAD I S13N AVE W 2165 WATERTOWN RD <br /> GOLDEN VALLEY MN 55427 ORONO MN 55366 <br /> (612) 591-1550 <br /> 3` I r,C r,Er r: r,rr=r -•t - E,:ti c; r r ,r', fr - r,-• <br /> MIF FC. �1N iERc: 1 G'N D H RE'E":,i !t�%Fi�h'.=,F .= F'Gl1F�! _,�%I}"4 I +_+ 1 !!nr•.E. I�it �"C"_r iL f�'}�'}1i i��! t�F � i <br /> i='EF=I F I ED AND �=Gi:tEE: TF-I Di 1 ALL �,�i=int:: L- <br /> i � i r;i t=i � ��+i�PL I i=�i��E=i� iii I TF i F iL� U I T''s i j;= <br /> [!ni i I'{ t i�''''3 - n' i) _� r' i i`t - h,; •r-,�:+_I i• `i i )�. �'3_;{i� "[i 3 `Y'r' <br /> IJ_ F'�L. INANCE"i.- rF�~._. _ FF E F �II'+If'�..•_, �i c _ IF.i. iyt� c nF;,°_ #;> FFr�`N1'_ <br /> L_. <br /> Chi <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />