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PERMIT <br /> " CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 Permit Number: MEC:HAN I CAL <br /> Crystal Bay, Minnesota 55323 Date Issued: 008149 <br /> 149 <br /> (612)473-7357 07/12/96 <br /> SITE ADDRESS: <br /> 840 OLD CRYSTAL BAY RD <br /> CH <br /> P T N : c —1177-2: —12—0002 <br /> DESCRIPTION: <br /> HEATING <br /> 1 HEATING SYSTEMS MAKE GMC MODEL GMP'NO6O:3 <br /> OUTPUT 5S,2c:0 INPUT F.0,000 <br /> REMARKS: <br /> FEE SUMMARY: <br /> VALUATION $1 ,800 <br /> Base Fee $35. 00 MAIL IN 1. <br /> Surcharge 1_2ca Total Fee $37 . 40 <br /> Subtotal $: 5 .90 <br /> CONTRACTOR: - Applicant - OWNER: <br /> COUNTRYSIDE HTG A/C 34791600 ELLIS ART <br /> 6511 HWY 12 840 OLD CRYSTAL BAY RD <br /> MAPLE PLAIN MN S535' ORONO MN 55391 <br /> 612) 479-1600 473-8226 <br /> w ' <br /> TME. NDERS I:GNED HEREBY REQUESTS PERMISSION TO MAKE THE,,R. IMPROVEMENTS <br /> SPECIFIED AND AGREES TO DO ALL WORK IN,.STR CTPLAN -,WITH ALL CITY OF <br /> L ORONO <br /> ORDINANCES AND STATE OF MINNESOTA g BU I LD I NG CODE ; i $�, Retiggrs. J <br /> t <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />