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CITY OF ORONO PERMIT <br /> 2750 Kelley Parkway - PO Box 66 Permit Number: Po�66s <br /> Crystal Bay, Minnesota 55323 Pet-mit Type: Mechanical Permits <br /> (952) 249-4600 Date Issued: �ili2oo4 <br /> SITE ADDRESS: 4315 North Shore Dr <br /> MOUND,MN 55364 <br /> PID: 07-117-23-43-0028 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Pernut Class: General <br /> Permit Type: Mechanical Permits Permit Sub-type(s): Gas Line Inspection <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate permits required: <br /> NOTICES/REMARKS: <br /> FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 800.00 <br /> State Surcharge Fee: $ 0.50 <br /> TOTAL FEE: $ 35.50 <br /> APPLICANT: Allied Fireside(See Comments) OWNER: R&M WILLIAMS <br /> DBA: Fireside Hearth&Home 4315 NORTH SHORE DR <br /> 2700 Fairview MOUND MN 55364 <br /> Roseville,MN 55113 <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 STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> �, ,; <br /> /�, �� <br /> ,��� 1 � <br /> '� �L� � � ��-� C�C.� r�1 :�'G�/� <br /> _ , � <br /> PLICANT PERMITEE SIGNATURF. [SSUED BY SIGNATURE <br /> Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 <br />