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� <br /> � PERMIT <br /> CITY OF ORONO <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po3496 <br /> Crystal Bay, Minnesota 55323 Permit Type: 1vlechanical Permits <br /> (612) 249-4600 Date Issued: li3oi2ooi <br /> SITE ADDRESS: 2130 Shadywood Rd <br /> WAYZATA,MN 55391 <br /> P I D: 17-117-23-42-0020 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Sub-type(s): Heating Systems <br /> Permit Type: Mechanical Permits Gas Fireplace <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUIIIIMARY: Permit Fee: $ 35.00 Valuation: $ 1,100.00 <br /> State Surcharge Fee: $ 0.55 <br /> TOTAL FEE: $ 35.55 <br /> APPLICANT: FIRESIDE CORNER OWNER: DONALD F HAGEN TRUSTEE <br /> 2700 N FARVIEW LANE 2130 SHADYWOOD RD <br /> ROSEVILLE,MN SSll3 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 <br /> STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> ��'7 � - � <br /> -,r "� � �_.__.. � <br /> , _ � <br /> �i, � 'i Y�� <br /> APPLI ANTPERMITEE I NATURE ISSUE �IGNATIJRE �.___ <br /> Copies: City,Applicant,Assessor, Finance Page 1 <br />