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PERMIT F <br /> CITY OF ORONO PERMIT TYPE: viECHAN1.CAL <br /> 1335 Brown Rd. South • P.O. Box 66 Permit Number: 0042i4 <br /> +Crystal Bay, Minnesota 55323 Date Issued: C, ir.,' 2 <br /> (612) 473-7357 <br /> SITE ADDRESS: <br /> _aC _ <br /> t�5-1 i !-�_�-ti:ti�-tjijt�l <br /> DESCRIPTION: <br /> i HEATING SYSTEMS MAKE MODEL RH25 <br /> CITY Or ORONO <br /> FLk'ANCE OFFICE <br /> 41 Xv A 01) <br /> 12X.:200040 H <br /> 41 GEN <br /> 1:31 Ttt {t4 <br /> � 1 GEN 1. <br /> CHEff TL 32. <br /> REMARKS: RE " <br /> 1 111, <br /> #23,7150 CON R01 T13 40 <br /> 0116192 <br /> FEE SUMMARY: <br /> Base Fee $30 .00 MAIL IN --------- <br /> Surcharge <br /> _ 5Q Total Fee $32.00 <br /> Subtotal _$,.---,.0 . <br /> _;0 .so <br /> CONTRACTOR: - Applicant - OWNER: <br /> CR13NSTROMS HTC; b AC: INC: :39203300 CAMP TEKO <br /> 4410 EXCELSIOR BLVD 645 TONKAWA PD <br /> MINNEAPOLIS MN 55416 LONG LAKE MN 55356 <br /> (612) 920-31800 471-0-217 <br /> I <br /> THE UNOERS I GNED t,5y`` iiUttt�T" P��I' S I <br /> .: 'EC:I F I D, A���S KL IN ' AOI' �L I SNC E= W 17 H,a,tLt C.I T`f , <br /> CODE fiE� <br /> L_ ORONO ORD zJI DEMENT <br /> n . <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />