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CITY F R N PERMIT <br /> O O O O Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 po�6is <br /> Crystal Bay, Minnesota 55323 Permit Type: FiX�ures <br /> (952) 24�-4600* Date Issued: 6izli2oo4 <br /> SITE ADDRESS: 775 Brown Rd S <br /> Wayzata,MN 55391 <br /> P I D: 03-117-23-34-0001 <br /> DESCRI PTION: <br /> Proposed Use: Kesidenhai <br /> Permit Class: Plumbing <br /> Pern7it Type: Fixtures Permit Sub-type(s): Multiple Fixtures <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 1,000.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: City View Plumbing&Heating OWNER: Mr. &Mrs. Peterson <br /> 1880 B Wayzata Blvd W. 775 Brown Rd S <br /> P.O. Box 150 Wayzata MN 55391 <br /> 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 STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> J <br /> � <br /> �� C C.:�'Vl C.�f'j /(',� <br /> APPLICANTPER 1 S NATURE ISSUEDBYSIGNATURE <br /> Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 <br />