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PERMIT <br /> C�ITY OF ORONO <br /> 2a�50 ICelley Parkway - PO Box 66 Permit Number: Po3623 <br /> Crystal Bay, Minnesota 55323 Permit Type: FiXcures <br /> (952) 249-4600 Date Issued: 3i2ti2ooi <br /> SITE ADDRESS: 140 Brown Rd S <br /> Long Lake,MN 55356 <br /> P ID: 03-117-23-12-0011 <br /> DESCRIPTION: <br /> .,--.�_, <br /> PTOpOSeCI USe: nc�iucii�iai <br /> Permit Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): Fixtures>3 <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,000.00 <br /> State Surcharge Fee: $ 1.00 <br /> Misc.Fee: $ 1.50 <br /> TOTAL FEE: $ 37.50 <br /> APPLICANT: KELLY PLUMBING&HEATING INC OWNER: Mr. &Mrs. Coleman <br /> 1932 ST. CLAIR AVENUE 140 Brown Road S <br /> ST. PAUL,MN 55105 Long Lake MN 55356 <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 <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> � <br /> � /' r ,�� .�� f��J , �,.-�/�.,? <br /> '' / " G��-('� '�,-�- '� 'x; ' ` ` - L�� <br /> A$ LI ANT PERMITEE IGNATURE I .� ED BY SIGNATiJRE ' i' <br /> Copies: City,Applicant,Assessor,Finance Page 1 <br />