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• PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 Permit Number M KHANI CAL <br /> Crystal Bay, Minnesota 55323 <br /> (612) 473-7357 Date Issued: 11/06/96 <br /> SITE ADDRESS: <br /> R50 OLD CRYSTAL BAY RD `= <br /> JG <br /> P. I . N. ; 09-117-23-12-0005 <br /> DESCRIPTION: <br /> 1 FIREPLACE FLUE SIZE 10 1/2 FUEL NATURAL GAS <br /> MAKE MARCO i HEAT I LAT <br /> REMARKS: <br /> FEE SUMMARY: <br /> VALUAT I ON $2,600 <br /> Base Fee $3S 00 MAIL IN 11-5Q <br /> Surcharge 11-312 Total Fee $37 .80 <br /> Subtotal $:746 . 30 <br /> CONTRACTOR: - Applicant - OWNER: <br /> VIERECK FIREPLACE S=ALES 744455620 LAKEWOOD+IOD DEVELOPMENT <br /> 3465 140 ST NE 850 OLD CRYSTAL AL BAY RD <br /> SHAKOPEE MN 55379 ORONO MN 55::91 <br /> ( ;12) 445-5F, 0 <br /> , THE UNDERSIGNED HEREBY REQUESTS PERMISSION 'TO MAKE THE REAL IMPROVEMENTS , <br /> SPECIFIED AND AGREES To Do ALL WC)RK IN STRICT C MPL ANCE WLTO ALLCITY OF <br /> mow tORDINANC•EL. AND STATE OF MINNESOTA BUILDING 'CO E REQUIRE S <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE 0 <br />