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PERMIT <br /> .�QITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 Permit Number: � - <br /> Crystal Bay, Minnesota 55323 t)O;�;�7'S <br /> Date Issued: - <br /> (612) 473-7357 .7 <br /> SITE ADDRESS: <br /> 211::,5 WATE RTi=+WN RD <br /> .Tip <br /> P T N . ;':; <br /> DESCRIPTION: <br /> 1 F I REPLAC:E FLUE 7 FUEL NATURAL GAS <br /> hiA.::E NAE=°OLEAN MODEL 6D:32t 0 <br /> REMARKS: <br /> FEE SUMMARY: <br /> Tc,tal Fee <br /> CONTRACTOR: _ Applicant _ OWNER: <br /> FIREPLACE t:c N i E R !;A5379 r F:::AN T CiR Rf-,=:FRT <br /> 12460 WAYfZATA BLVD *2-,1,55 WATER'TF,WN RD <br /> M 1 KIN�E'T����,I A MN55:0.5 +:iF-�:�►I`CI MN 553-5::, <br /> (612') 4 z-:37°_ 7 <br /> THE LrNb8OSIGNED HEREBY 'RE �4ESTS PER14SSION TO � ��$� �. IMMVE IENTIS M. <br /> SPEC I F I ED� AN . AGREES TO O N 'STi I T A fC T TH ALL, J TY OF <br /> Dc :# C+ C} N5 A1} w:7AF Al I IiEL I i i . I ,. . r ;1 I REEDITS. <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />