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CITY �F ORONO PERMIT <br /> '� Permit Number: <br /> 275ff Kelle�i Parkway - PO Box 66 P04361 <br /> Crystal Bay, Minnesota 55323 Pefll'llt Typ@: Mechanical Permits <br /> (952) 249-4600 Date Issued: 9��9i2ooi <br /> SITE ADDRESS: 1280 Bracketts Pt Rd <br /> Wayzata,MN 55391 <br /> P 1 D: 11-117-23-32-0019 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 35.80 Valuation: $ 2,864.00 <br /> State Surcharge Fee: $ 1.43 <br /> TOTAL FEE: $ 37.23 <br /> APPLICANT: Countryside Heating&Cooling OWNER: John Pillsbury <br /> 6511 Hwy 12 1280 Bracketts Pt Rd <br /> Maple Plain, MN 55359 Wayzata MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI-�REAL IMPROVEIvIENTS 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 /> % i <br /> / <br /> � � , . ;�y1�1 :�r'�/ �1�� <br /> APP CANT PERMITEE SIGNATURE - ISSU BYSIGNATURE <br /> �_ <br /> Copies: 1-File(SiQnitures Reauiredl. 1-Applicant, ]-Monthlv Reports. 1-Assessine, 1-Finance Page 1 <br />