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PERMIT <br /> Cfl Y OF ORONO PERMIT TYPE: <br /> #2750 Kelley Parkway- P.O. Box 66 <br /> Cryst?' Bay, Minnesota 55323 Permit Number: i f 10:7:13 <br /> (612) 043-7357 Date Issued: 12/01 /98 <br /> SITE ADDRESS: <br /> 1770 ,kir.:; FARM 1 R.D <br /> 17 <br /> 4' I_ F—1 1 2_ —4 4 T'L_i i1 <br /> - <br /> DESCRIPTION: <br /> MASONRY FIREPLACE <br /> 1 FIREPLACE <br /> REMARKS: <br /> FEE SUMMARY: <br /> ON <br /> Base Fee $100 . 00 <br /> '._.i 3 r c i Y.`-s ge _00 <br /> Total f F;^e $104 . 00 <br /> CONTRACTOR: - App 11 c- nt- OWNER: <br /> - tt�.. _ <br /> DA (,:1-i CONCRETE v} MASONRY _ __.1 5- '1 4_:_» w."•.}".4 HOMES <br /> 2c.c:=0 PIONEER CR Nw 1770 WEST FARM RD <br /> 2.: 473-8-524 <br /> THE UNDERSIGNED HERIEEP's REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br /> SPECIFIED AND AGREES s`E'i O Dc ALL WORK IN STRICT COMPLIANCE WITH ALL C I. I Y o <br /> ORONO_3NO ORD I NANs_.W'S AND -STATE OF MINNESOTA Bt J1LDING CODE E RE i!3 R:EMENTS .dece- Cdx.4.470x) <br /> L_ J <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATUbt <br />