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� PERMIT <br /> CITY �F ORONO Permit ►vumber: <br /> 275G�Kelley Parkway - PO Box 66 Pos�9i <br /> Crystal Bay, Minnesota 55323 Pe►'mit Type: Mechanical Permits <br /> (952) 249-4600 Date Issued: loi3oi2oo2 <br /> SITE ADDRESS: 785 Ferndale Rd N <br /> Wayzata,MN 55391 <br /> PID: 36-i is-23-i 1-0012 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Pernut Class: General <br /> Permit Type: Mechanical Pernuts Pernut Sub-type(s): Gas Fireplace <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 103.75 Valuation: $ 8,300.00 <br /> State Surcharge Fee: $ 4.15 <br /> Misc. Fee: $ 1.50 <br /> TOTAL FEE: $ 109.40 <br /> APPLICANT: Fireside Corner OWNER: Michelle&Thomas Cullum Jr <br /> 2700 N Fairview Lane 785 Ferndale Rd N <br /> Roseville,MN 55113 Wayzata MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> ,�� ,� � '� <br /> 1 / �� " -� � � �'���'��� <br /> AP LICANT PERMITEE S[GNATURE ISSUED BY S[GNATURE <br /> Copies: 1-File(SiQnitures Requirect), 1-Anplicant, 1-Monthlv Reports, 1-Assessins, 1-Finance Page 1 <br />