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f � <br /> CITY OF ORON PERMIT <br /> � Permit Number: <br /> 2750 Kelipy Parkway - PO Box 66 Pos6io <br /> Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations <br /> (952) 249-4600 Date Issued: 9i13i2oo2 <br /> SITE ADDRESS: 785 Ferndale Rd N <br /> Wayzata,MN 55391 <br /> PID: 36-118-23-11-0012 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Proposed Use: Residential <br /> Pernut Class: Building Census Code O/S-Building <br /> Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Permit Fee: $ 83.25 Valuation: $ 2,950.00 <br /> State Surcharge Fee: $ 2.00 <br /> TOTAL FEE: $ 85.25 <br /> APPLICANT: Sela Roofing&Remodeling, Inc. OWNER: Michelle&Thomas Cullum Jr <br /> 4100 Excesior Blvd. 785 Ferndale Rd N <br /> St. Louis Park,MN 55146 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 /> � � � �� "� �(. - �,..: (,�'.,/(,[ (���1 �l�iP� ��� <br /> APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE <br /> Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 <br />