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CITY OFOR N PERMIT <br /> Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 P07886 <br /> Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations <br /> (952)`249-4600 Date Issued: 8/26/2004 <br /> SITE ADDRESS: 465 Orono Orchard Rd S <br /> Wayzata,MN 55391 <br /> PID: 02-117-23-32-0001 <br /> DESCRIPTION: <br /> Proposed Use: Residential <br /> Permit Class: Building Census Code 0/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 /> --- ------- ---------,n ,For n_..a of <br /> A,f_:__ <br /> u.uu <br /> FEE SUMMARY: Permit Fee: $ 111.25 Valuation: $ 4,900.00 <br /> State Surcharge Fee: $ 2.95 <br /> TOTAL FEE: $ 114.20 <br /> APPLICANT: Patrick William Construction OWNER: Edward Ham <br /> 208 4th Street NW 485 Orono Orchard Rd S <br /> St.Micheal,MN 55376 Wayzata MN 55391 <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 /> APPLICANT PERMITEE SIGNATURE I SUED BY SIGNATURE <br /> Copies: 1-File(Siinitures Required). 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 <br />