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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2850 Kelley Parkway- P.O. Box 66 MEL:HAN 1 CAL <br /> Crystal Bay, Minnesota 55323 Permit Number: 010581 <br /> (612)473-7357 <br /> Date Issued: ti; i i;/ <br /> SITE ADDRESS: <br /> _s t,ta WATERTOWN RD <br /> JG <br /> 1=' I . N. —'-'.-,—A3—C)003 <br /> DESCRIPTION: <br /> F I REPLAC-E FUEL NATURAL GAS MAKE HEAT N CLO <br /> MODEL STTRCi6000TR OUTPUT �7,000 <br /> REMARKS: <br /> FEE SUMMARY: <br /> VALUATION $2;200 <br /> Base Fee $:35 .00 <br /> Surcharge --------- 1,,,,,I,.t 1 <br /> Total- Fee �:�,, 10 <br /> CONTRACTOR: _ Applicant - OWNER: <br /> FIRESIDE CC+RNER 36._;321=5 6 i R I GHT ANGLE BLDRS. <br /> .7'7Cit; FAIRVIEW AVE td :3580 �.AfER,{i=WN RD <br /> R SEVILLE MH ORONO MN 553S6 <br /> THE UNDERSIGNED HEREBY REQUESTS F`ERM I E.IC +I TL+ � E THE RE.�1.. I M IVEMENTL , , <br /> SPECIFIED AND AGREES TD,DD ALL t ORIS �,. -STR LCT. QQMPL. , � �T� �� C S TY � F <br /> ���R>iMt�t i i I NANCE AND :TATE 0JF M I PINS ` Rt�j l l.�I I�I� G�tl >~ �Et�� IR <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />