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PERMIT <br /> C1IEC <br /> t j c OF ORONO PERMIT TYPE: <br /> X75 t;ey Parkway- P.O. Box 66 121 Permit Number: 01 'Nim d I='~� <br /> 1 <br /> Crystal Bay, Minnesota 55323 _ <br /> (612) 473-7357 Date Issued: <br /> SITE ADDRESS: <br /> RD <br /> 7 vj.T <br /> p. I . r4. ; i_�.EE'-117-_ -3 0 0 i 9 <br /> DESCRIPTION: <br /> INSTALL 3 VENTr. <br /> 31 VENTILATION iMA�-,.:E EMPIRE DIRECT t1OCI L DV-25 <br /> REMARKS: <br /> FEE SUMMARY: <br /> Base F >r .�;it MAIL IN <br /> Surcharge ---------- To r.a 1 E e e $37 .40 <br /> CONTRACTOR: - F'i1calIt - OWNER: <br /> 'JOLT FRED { CO f:-:,'7 J:�7 TEMIPI E ISRAEL <br /> ijl tR � f4�E t=�11 T3�►I` :: ? (i <br /> THE t.NDERS I G14ED HEREBY REQUESTS::.TS PERMISSION TO MAF.E THE REAL. I MR�fi�.� 'EMENTZo: <br /> SPECIFIEDAND AGREES TO 00 ALL WORK IN STRICT CbMPLIANC8 WI 114 ALL—GiTY"'OF' <br /> ORON 0kDIt ANCES AND STATE OF MINNE OTA '.BVILDING CODF_- v' : ENT" :. ...� <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />