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� � PERMIT <br /> GITY OF ORONO <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po349s <br /> Crystal Bay, Minnesota 55323 Pel't711t Typ@: Mechanical Permits <br /> (612) 249-4600 Date Issued: ii29i2ooi <br /> SITE ADDRESS: 1875 Shadywood Rd <br /> WAYZATA,MN 55391 <br /> P ID: 17-117-23-24-0002 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: General <br /> Permit Sub-type(s): Gas Fireplace <br /> Permit Type: Mechanical Permits <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> Homeowner putting in fireplace himself. <br /> FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 300.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: MARK KOSEK OWNER: MARK&GINA KOSEK <br /> 1855 SHADYWOOD ROAD 1875 SHADYWOOD RD <br /> WAYZATA, MN 55391 WAYZATA MN 55391 <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 <br /> STATE OF NIINNESOTA BUILDING CODE REQUIREMENTS. <br /> , _- ` � i <br /> 7 <br /> � r� f 11�'� � / <br /> APPLICAN PERMITE NATURE �ISSUED BY SIGNATURE � <br /> Copies: City,Applicant,Assessor,Finance Page 1 <br />