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PERMIT
<br /> PERMIT TYPE:
<br /> r. MECHANICAL)
<br /> 0040.211"
<br /> Permit Number:.
<br /> Date Issued:
<br /> y F OR°N°o. Box 66
<br /> 10/16/.:41
<br /> IT - 0 Rd. South •_P:...._.
<br /> BAY RD
<br /> 335 Brown —
<br /> CRYSTAL BA
<br /> OLD stal Bay,
<br /> -672) 473-7357
<br /> Minnesota 553zo
<br /> 1100
<br /> D. D RESS:
<br /> 1
<br /> BRyANT. 000
<br /> -,'74—14—0001
<br /> HAKE
<br /> 110,
<br /> 17---
<br /> N. ; 09-1
<br /> ei- SYS GAS INPUT HT—,? . . ;' ''''' ' ,-.: ., -
<br /> ), , :_ , .1:10
<br /> IIPTI°N:
<br /> .....:: FUEL --, ' - 4 41-
<br /> MODEL
<br /> HEATING SYSTEM__
<br /> OrfONO
<br /> CITY OF
<br /> . r OFFICE
<br /> FINANC1-
<br /> 1.7t3.7()grgEN 30.00
<br /> 1700000
<br /> 135 01 EN 1.50
<br /> KS:
<br /> no}10/0 0 s
<br /> .50
<br /> 1,,,,,,,1• • gEN 31 00
<br /> ..,IZA.,-&- ' IL bill
<br /> imbl%RECEIPTTHANK T14:07
<br /> imA1 ,- "v91
<br /> vimARY:
<br /> `.26540 Livv 104
<br /> #4.
<br /> $30•00
<br /> TMIADt•IaLl IN
<br /> 1-5Q
<br /> $30.50
<br /> se Fee
<br /> r charge
<br /> btota 1
<br /> 1RD S
<br /> R•
<br /> riviNE •
<br /> ..., NIT
<br /> GUM
<br /> t. --
<br /> __ Applicant.
<br /> 1100..3,,,,...- - -
<br /> ORONO OLD CRYR:IME:3;NBTAELR.:5:5:::::Y3NTs
<br /> h CO AVECTOR: _ ,nM Hvi.... b, A.-"s6
<br /> - ' 'I
<br /> IT FRED GORHH MN St'44
<br /> i I t'ir T T‘I LI
<br /> r'FAL . ' • I C 1 ' I
<br /> '0 - PARK
<br /> . i•-r. -' jr-Fr‘--. .7•,-1.4 ,6iI—-
<br /> lAIsc -NiF W11:-: ENTS-
<br /> LOUIS PARK
<br /> - -Tc,siON TIT! irrimpLIHI'--,-...-,-..UIRtM
<br /> 4=i—b
<br /> 2.) 171
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<br /> '1.(4,
<br /> 1... r-c, f-i!'-i.. . .. c pl,..4., •- .
<br /> By SIGNATURE
<br /> CII- 1*-1Nr;N(1.1.-'
<br /> ISSUED
<br /> Clh'ki ' .
<br /> ..,
<br /> APPLICANT/PERMITEE SIGNATURE
<br />
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