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PERMIT <br /> CITY OF ORONO <br /> 2750 KelleyParkway P.O. Box 66 PERMIT TYPE: <br /> Y- MEC:HAN I C:At <br /> Crystal Bay, Minnesota 55323 Permit Number: t)t�t,t)0 3 <br /> (612)473-7357 Date Issued: <br /> 05/24I9F, <br /> SITE ADDRESS: <br /> 2643 THOROUGHBRED LA <br /> LSV <br /> P. I . N. . �i4-117-2:3-12-0021 <br /> DESCRIPTION: <br /> 1—WO+D 2—GAS F I REPLA <br /> 1 FIREPLACE FLS aE SIZE 12" MAKE MARCS <br /> MODEL BLCiRS 41" <br /> 2 FIREPLACE FLUE SIZE 7" FUEL NATURAL GAS <br /> MAKE CFM MODEL DV40 <br /> II <br /> REMARKS: <br /> FEE SUMMARY: <br /> VALUATION $3,500 <br /> Ease Fee $4:3. 75 <br /> Surcharge ---------11. za <br /> Total Fee $45. 50 <br /> i <br /> CONTRACTOR: — App 1 i c alit. — ST. LIC: OWNER: <br /> E I DEN CONSTRUCTION INC: 15590251 0003220��f3220 TONY E I DEN CO <br /> 14225 HIGHWAY 55 W 4100��y BERk:SHIRE LA <br /> PLYMOUTH MN SS446 PLYMOUTH MN 55446 <br /> (512) 559-0251 (612)559-0251 <br /> THE tNDERS NEd NI~F# E Y EQI fiT PER I.. 5 W <br /> }hl '� MA 5tE,A 4 S <br /> 51 C F I ED D A��ES ' 06 ALL WDRf :'IN I '' BICE", w`C <br /> L_ t RD I N .E ` AND TAtt lF M I 1 +tE TA S I LD" t� CSC} I .. <br /> X <br /> 1 ` <br /> APPL ANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />