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' ' PERMIT <br /> CITY OF ORONO Permit Number: <br /> 2750 Kelley Parkway- PO Box 66 P04472 <br /> Crystal Bay, Minnesota 55323 Permit Type: Fixtures <br /> (952) 249-4600 Date Issued: ioiioi2ooi <br /> SITE ADDRESS: 700 North Arm Dr <br /> Mound,MN 55364 <br /> PID: 06-117-23-43-0003 <br /> DESCRIPTION: <br /> Proposed Use: xesicientiai <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• $ 500.00 <br /> State Surcharge Fee: $ 0.50 <br /> Misc.Fee: $ 1.50 <br /> TOTAL FEE: $37.00 <br /> APPLICANT: Norblom Plumbing Co. OWNER: Gregory Harty <br /> 2905 G�eld Avenue S. 700 North Arm Dr <br /> Minneapolis,MN 55408 Mound MN 55364 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN SfRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> �;G��--e � ..��„ � � <br /> APPLICANT PERMITEE SIGNATURE ISSUEDBY SIGNATURE <br /> Conies: 1-File(SiQnitures Required). 1-Annlicant, 1-Monthlv Renorts, 1-A�essin¢. 1-Finance Page 1 <br />