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PERMIT <br /> CITY" OF'ORONO <br /> 2750 Kelley Parkway- PO Box 66 Permit Number: p09252 <br /> Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits <br /> (952)249-4600 Date Issued: <br /> 10/5/2005 <br /> SITE ADDRESS: 2735 Shadywood Rd Unit# <br /> Excelsior,MN 55331 <br /> PID: 21-117-23-24-0005 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: <br /> Mechanical Permits Permit Sub-type(s): Gas Fireplace <br /> DETAILS: <br /> Approved per resolution#: <br /> Sepazate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Pernrit Fee: $ 37.50 Valuation: $ 3,000.00 <br /> State Surcharge Fee: $ 1.50 <br /> Misc.Fee: $ 1.50 <br /> TOTAL FEE: $ 40.50 <br /> APPLICANT: Woodland Stoves&Fireplaces OWNER: Richard&Sue Gay <br /> 1203 Washington Ave.S. 2735 Shadywood Rd <br /> Minneapolis,MN 55415 Excelsior MN 55331 <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 /> `7�� (.r-- 0�� d�'��vt� �'f� <br /> APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE <br /> Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 <br />