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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 MECHANICAL <br /> Crystal Bay, Minnesota 55323 Permit Number: 0 X7:;3.27 <br /> (612) 473-7357 Date Issued: 0E, 0`:f <br /> SITE ADDRESS: <br /> :3:20 WO€€=€i H I LL RD <br /> LSV <br /> P. 1' . N. : 02-117-2:3-13-000E. <br /> DESCRIPTION: <br /> MASONRY FIREPLACE <br /> 1 FIREPLACE MAKE MASONRY <br /> REMARKS: <br /> FEE SUMMARY: <br /> VALUATION $2, 800 <br /> Base Fee $35 . 00 <br /> Surcharge �. a•(3 <br /> Total Fee $3E: , .�.'�0 <br /> CONTRACTOR: -- Applicant - OWNER: <br /> PEARSON MASONRY INC 361 102 PAUL Ui_C I G I NA <br /> 7 414 12TH AVE S 330 W€ODH I LL RD <br /> RICHFIELD MN 56423 ORONO M4 55391 <br /> is612? 851-210: <br /> THE UNDERSIGNED HERESY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br /> SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH: ALL CITY € F <br /> L_ €_.€, NO ORD .ANCE'S AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> OL &1 (•�, A <br /> APPLICANT-PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />