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PERMIT <br /> CITY �F ORONO <br /> Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P108o2 <br /> Crystal Bay, Minnesota 55323 Permit Type: Fixtures <br /> (952) 249-4600 Date Issued: <br /> 2/28/2007 <br /> SITE ADDRESS: 2800 Farview La Unit# <br /> Long Lake,MN 55356 <br /> P��� 04-117-23-34-0006 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: Plumbing <br /> Permit Type: <br /> Fixtures Permit Sub-type(s): Dishwasher <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 15.00 valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> Misc. Fee: $ 1.50 <br /> TOTAL FEE: $ 17.00 <br /> APPLICANT: Champion Water Services OWNER: Jerome Kemp <br /> 12008 12th Avenue S 2800 Farview La <br /> Burnsville,MN 55337 Long Lake MN 55356 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPEC[FIED <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 /> c <br /> �1'�d-t.? � , �fiY,�L�rc <br /> APPLICANT PERM[TEE SIGNATURE IS D BY S[GNATURE <br /> Copies: l-File(Signatures Required), 1-Applicant, 1-MonthlyReports, 1-Assessing,(If Septic, ]-Septic) Page 1 <br />