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PERMIT <br /> CITY OF ORONO <br /> PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 MECHANICAL <br /> Crystal Bay, Minnesota 55323 Permit Number: 007676 <br /> 76 <br /> (612)473-7357 Date Issued: <br /> i <br /> SITE ADDRESS: �I <br /> 2575 THOROUGHBRED LA ! <br /> LSV <br /> P. I .N . ; 04-117-23-11-0021 j <br /> DESCRIPTION: <br /> 1 FIJRN/1 AC:/VENT <br /> 1 HEATING SYSTEMS FLUE SIZE 61) FUEL NATURAL GA' <br /> MAKE BRYANT MODEL _-c-33 ::AVOE-01-5 <br /> OUTPUT 124,000 INPUT <br /> 1 AIF CONDITIONING H�+RSE POWER 4 MAKE BRYANT <br /> MODEL 56 3CN 104:x: TONS 4 <br /> 1 VENTILATION MAKE 1 KIT/5 BATH <br /> REMARKS: <br /> FEE SUMMARY: i <br /> VALUATION $5,300 <br /> Base Fee $66 . 2-5 MAIL IN --------- <br /> -11--) <br /> Surcharge ---------12-55 Total Fee $70 .40 <br /> Subtotal $68. 90 <br /> i <br /> i <br /> CONTRACTOR: - Applicant - OWNER: <br /> HEATING & COOLING TWO :34283677 TONY E I DEN CO <br /> 18550 COUNTY ROAD 81 4141 BERKSHIRE LA <br /> MAPLE GROVE MN 55:369 PLYMOUTH MN 555447 <br /> (612) 428-3677 (612)559-0251 <br /> F r <br /> TW, UNDERSIGNED HERESY .REG�U �T S PERM ON T . . T �. I M E TS <br /> SPECIFIED AND GREES, TCS 'DO ALL W0R}, . IN ,STRIC:T.- C.�#�IA�E:, � � A�.L CST £ :: <br /> L_ ORDNO MWD I NANdS AND 'STATE 0' M NNES0TA WILQ NG CODE I = <br /> elf". <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />