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PERMIT <br /> ` LIIYOF ORONO <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po23t3 <br /> Crystal Bay, Minnesota 55323 Permit Type: F�XtUres <br /> (612) 249-4600 Date Issued: ai�2ioo <br /> SITE ADDRESS: 825 Forest Arms La <br /> MOUND,MN 55364 <br /> f���: 07-1]7-23-12-0011 <br /> DESCRIPTION: <br /> �-�- -� <br /> PI'OpOSeC�USe: �c�iuciiiia� <br /> Permit Class: Plumbing <br /> Permit Type: Fixtures Permit Sub-type(s): Water Heater <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 400.00 <br /> State Surcharge Fee: $ 0.50 <br /> Misc. Fee: $ 1.50 <br /> TOTAL FEE: $ 37.00 <br /> APPLICANT: Norblom Plumbing Co OWNER: M D PARKS& K L PARKS <br /> 2905 Garfield Ave South 825 FOREST ARMS LA <br /> Minneapolis, MN 55408 MOUND MN 55364 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROV EMENTS 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 /> �� � F� <br /> APPLICANT PERM[TEE SI NATURE ISSUED[3Y SIGNATUR� <br /> Copies: City,Applicant,Assessor, Finance Page] <br />