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s ` PERMIT <br /> C�TY OF ORONO Permit Number: <br /> 2750 Keliey Parkway - PO Box 66 po6ios <br /> Crystal Bay, Minnesota 55323 Permit Type: Mechanical Perniits <br /> (952) 249-4600 Date Issued: 3iiai2oo3 <br /> SITE ADDRESS: 665 Ferndale Rd N <br /> Wayzata,MN 55391 <br /> PID: 36-118-23-11-0003 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Pernut Class: General <br /> Permit Type: Mechanical Permits Permit Sub-type(s): Wood Fireplace <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 358.50 Valuation: $ 28,680.00 <br /> State Surcharge Fee: $ 14.34 <br /> TOTAL FEE: $ 372.84 <br /> APPLICANT: William Bunn Masonry, Inc. OWNER: F G BASTIAENS/L M BASTIAENS <br /> 7676 South Shore Drive 665 FERNDALE RD N <br /> Chanhassen,MN 55317 WAYZATA MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> � � � �� <br /> X��i'��.,.,� .��n-� �� �:; �� 7•�i._----L_J ��� <br /> APPLICANT PERM(TEE SIGNA'I'URE ISSUED BY SIGNATURE <br /> Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 <br />