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4 PERMIT <br /> f CITY OF ORONO PERMIT TYPE: MECHANICAL <br /> 1335 Brown Rd. South • P.O. Box 66 Permit Number: 004763 <br /> Crystal Bay, Minnesota 55323 Date Issued: 10/2:0/q2 <br /> (612) 473-7357 <br /> SITE ADDRESS: r <br /> 461==0 WEST BRANCH RD <br /> P . I . N. : 06 17-2 -33- 006 <br /> DESCRIPTION: <br /> HTG SYSTEM <br /> 1 HEATING SYSTEMS FUEL NATURAL GAS MAKE LENNOX <br /> MODEL G210:=1-6 y INPUT 60, 000 <br /> ;_.!I Y OF ORONO <br /> FlMal. OFFICE <br /> 1,313300000 <br /> J1JJVVV00 # <br /> '!i 'rill i?! Ars <br /> V/1 121.11JV1. <br /> a V <br /> 1222200000 <br /> f!i f rill Si! <br /> 1/1 VLU aJt• <br /> *iri'f!i!!1{5t! '''' <br /> 13)511 VVVVV YT,. <br /> REMARKS: 111 rrxi <br /> CHECKL•71L 4f• TL ✓i.a VV <br /> ! r!'L!!.l T_T L NA* YOU <br /> i <br /> ItL4411 1 111171TI1 1 VY <br /> T7tjiJjV LVVS ROI 11'T•i'L• <br /> FEE SUMMARY: 11'f gf"- <br /> Ease Fee $30 . 00 MAIL IN $1_50 <br /> Surcharge 1-SO Total Fee $3.7) . 00 <br /> Subtotal $30.50 <br /> CONTRACTOR: - App? i cant• - OWNER: <br /> SEDGW I C:K: HTG & AC Ca i _39:3190010 BAKER JOHN <br /> 8910 1 WENTWOORTH AVE _ 46R0 WEST BRANCH RD <br /> MINNEAPOLIS MN 55420-2814 ORONO MN 55364 <br /> (612) 8R1-9000 <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 BUILDING CODE REQUIREMENTS. <br /> L_ <br /> p 1 <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY SIGNATURE Zeta, <br />