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CITY OF ORONO PERMIT <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po43g4 <br /> Crystal Eay, Minnesota 55323 Permit Type: Mechanical Permits <br /> (952) 249-4600 Date Issued: 9i21�2o01 <br /> SITE ADDRESS: 2345 Blaine Avenue(Well No. 3 Pumphous <br /> Wayzata,MN 55391 <br /> PID: 17-117-23-34-0011 <br /> DESCRIPTION: <br /> Proposed Use: <br /> Permit Class: General <br /> Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioning <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 110.50 Valuation: $ 8,840.00 <br /> State Surcharge Fee: $ 4.42 <br /> Misc. Fee: $ 1.50 <br /> TOTAL FEE: $ l 16.42 <br /> APPLICANT; Gilbert Mechanical Contractors Inc. QWNER: Village of Orono(Well No. 3 Pumphouse) <br /> 4451 West 76th Street P.O. Box 66 <br /> Edina, MN 55435 Crystal Bay,MN 55323 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVENIENTS 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 /> ) <br /> ���/� � f ��t � <br /> ��- � �_ L%�. `' � G� <��'�'� <br /> APPLICANT PERMITEE SIGNATURE ISSUEDBYSIGNATURE <br /> Copies: 1-File(Signitures Reauired), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine. 1-Finance Page 1 <br />