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� <br /> r <br /> ITY F R N PERMIT <br /> C � � � � Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 Posio6 <br /> Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits <br /> (952) 249-4600 Date Issued: io�2i�2oo4 <br /> SITE ADDRESS: 3445 Crystal Bay Rd <br /> Wayzata,MN 55391 <br /> PID: 17-117-23-43-0121 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 41.25 Valuation: $ 3,300.00 <br /> State Surcharge Fee: $ 1.65 <br /> TOTAL FEE: $ 42.90 <br /> APPLICANT: Allied Fireside(See Comments) OWNER: Fred Johnson <br /> DBA: Fireside Hearth&Home 3445 County Road 44 <br /> 2700 Fairview Minnetrista,MN 55364 <br /> Roseville,MN 55113 <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 /> � \ <br /> r <br /> �' � <br /> - , � - <br /> �- <br /> PLIC NT PERMITEE SIGNATURE ISSUED BY SIGNATURE <br /> Copies: 1-File(Si�nitures Repuired), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 <br />