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PERMIT <br /> CI��Y rJF ORONO Permit Number: p10980 <br /> 27... Kelley Parkway PO Box 66 <br /> Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits <br /> (952) 249-4600 Date Issued: <br /> 5/l 0/2007 <br /> SITE ADDRESS: 2216 Shadywood Rd Unit# <br /> Wayzata,MN 55391 <br /> PID: 17-117-23-42-0004 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: <br /> Mechanical Peimits Permit Sub-type(s): Heating Systems <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 0.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: Guyers Builders Express OWNER: John J Henry III <br /> 13405 15th Avenue N 2216 Shadywood Rd <br /> Plymouth,MN 55441 Wayzata,MN 55391 <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 /> , <br /> i? <br /> ` � _,�� - p�,t.�. f�c l�'}�(_,.�./'1 /� <br /> APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE <br /> Copies: 1-File(Signatures Reguired), 1-Appiicant, 1-Monthly Reports, l-Assessing,(If Septic, 1-Septic) Page 1 <br />