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PERMIT <br /> t CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway • P.O. Box 815 Permit Number: C•sF i.I✓(-,ity T .. <br /> Orono, Minnesota 55356-0815 `-t'-7 '`_'= <br /> Date Issued: <br /> (612) 473-7357 07/23/93 <br /> SITE ADDRESS: <br /> 998 W;LtD,HU •._:T TR <br /> CH <br /> P . - . N . . 07-117-23-13-0216 <br /> DESCRIPTION: <br /> i- GAS FIREPLACE <br /> FIREPLACE <br /> 'L Ii'E F�-'EL NATURAL TURAL GAS MAKE HE AT-N--LL}_I <br /> MODEL SO 00VT <br /> REMARKS: <br /> FEE SUMMARY: <br /> base Fee $35 . 00 MAIL IN I_ `O <br /> Eu t'+-h:-t i'r ra 't• . '_: Total F`__ $37 . 05 <br /> Subtotal_ $S. SS <br /> CONTRACTOR: - Applicant - OWNER: <br /> FIRESIDE i_ORNEE:.:=:;,c ,1. WAADE ROBERT <br /> -700 1 FAIRVIEW AVE N _:�-i�_WI DHURS : TR <br /> RO`•= V I LLE MN 55113 ORONO i•';.. t':`5A <br /> .61TO z3 _SF,_ _.5822 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENT' <br /> SPECIFIED AND AGREES TO DO ALL WORE: IN STRICT COMPLIANCE WITH ALL CITY OF <br /> ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> L I <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE�L/ L'X • <br />