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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 MEt,;L,= 4 I i-:i:� •- <br /> Crystal Bay, Minnesota 55323 Permit Number z-;j i; <br /> (612) 473-7357 Date Issued: 04/28/98 <br /> SITE ADDRESS: <br /> 2900 WEAR AF C:I F <br /> .jt3 <br /> P . I . N . : 33-118-23-34-0007 <br /> DESCRIPTION: <br /> FIREPLACE Fi i iE S I_'E 7 M1-KE NAPOLEON <br /> MODiI CD4 oN <br /> REMARKS: <br /> FEE SUMMARY: <br /> VALUATION $1 , 000 <br /> Base Fee $35 .00 MAIL IN til Vii; <br /> Surcharge 1 .50 Total Fee $37 . 00 <br /> Subtotal $fir C0 <br /> CONTRACTOR:_ - �Applicant - OWNER: <br /> FIREPLACE <br /> I R`EPLAC E CER 3EAS3797 Ay _i V ,'FN - <br /> 12460 AY_A!.A BLVL) L _ -SE:X C I F <br /> MII{1N T NKA ,1N _ _ ,O ORONO <br /> ;O x sits: SS356 <br /> 61 `) C45-: SI <br /> � f <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE.,THE REAL IMPROVEMENTS <br /> SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF <br /> ORONO ORDINANCES AND STATE OF MINNESOTA Bt ILDING COD REQUIREMENTS . <br /> L_ <br /> .,&Y) 6, ) <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />