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PERMIT <br /> t CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 MEC:HAN I C�AL <br /> Crystal Bay, Minnesota 55323 Permit Number: 016 78, <br /> (612) 473-7357 Date Issued: 06/15/y <br /> SITE ADDRESS: <br /> 1 050 TAMARACK OR <br /> ('(.j <br /> DESCRIPTION: <br /> HEATING 1'C:OC IL I NG <br /> 1 HEATING SYSTEMS CFM Ile-00 FUEL NATURAL GAS <br /> MAKE PAYNE <br /> I. HEATING SYSTEMS FUEL NATURAL GAS MAKE I NFLA-REQ <br /> MODEL 100 INPUT 100, 000 <br /> I AIR CONDITIONING fiMAKE CARRLEN TONS 4 <br /> REMARKS: <br /> FEE SUMMARY: <br /> VALUATION $9; 000-1 <br /> Base Fee $1 -111,21.50 MAIL IN ---------1.1-5i r <br /> Surcharge ---------14-5Q Total Fee $i1:_�.0 <br /> Subtotal $117 . 00 <br /> CONTRACTOR: - AFF=l i A*nt- - OWNER: <br /> C0N:=�TR 1CT I _N MECHANICAL SE 34,_::)4:: SPRING HILL aj_F { .UB <br /> - SYLVAN ST TAMARACK D <br /> R1 - _ i <br /> ST PAE JL _ MN 551. 1.7 ORONO MN 55.356 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAK E THE REAL °I MPRf(VEMENTS <br /> SPECIFIED AND AGREES TO 00 ALL WORK €N STRICT COMPL I ONCE WITH ALL CITY OF <br /> ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQLJIRFM[E Ts, <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />