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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 MECHANICAL <br /> Permit Number: <br /> Crystal Bay, Minnesota 55323 tjC1,_5i)l <br /> (612)473-7357 Date Issued: 10/22/9A <br /> SITE ADDRESS: <br /> 850 OLD CRYSTAL BAY RD 53 <br /> LSV <br /> P. I . N. . 09-117-23-12-0005 <br /> DESCRIPTION: <br /> FURN/AC/VENT <br /> 1 HEATING SYSTEMS FLUE IE 3" FUEL NATURAL GAS <br /> MAKE CARRIER MODEL MS8X <br /> OUTPUT 100,000 INPUT 120,000 <br /> 1 AIR CONDITIONING MAKE CARRIER TON=: 4 <br /> 1 VENTILATION MAKE 1 KIT/4 BATH <br /> REMARKS: <br /> FEE SUMMARY: <br /> VALUATION $9;'975 <br /> Base Fee $124 . 69 <br /> Surcharge <br /> Total Fee $129. 68 <br /> CONTRACTOR: - Applicant - OWNER: <br /> K:I NU'E:WAY PLUMBING ; 47q=,71 S HALE MR. <br /> 6250 HWY 12 850 OLD CRYSTAL BAY RD S <br /> MAPLE PLAIN MN AS:-.:Sq ORONO MN SS:::91 <br /> (5,12) 479-6715 <br /> THE UNDERSIGNED HEREBY REQU ESTS PERMISSION .T MAKE TME-REAL R <br /> SPECIFIED AND AGREES TO DO ;,ALL WaRK IDIµ STR r; „r N E ` TH L 'CITU <br /> ORi:iN0 ORDINANC:ES AND ESTATE OF MINNESOTA BUILDING ° 'ODE REQUIRE,ATS <br /> APPI ICA ITEE SIGNATURE ISSUED BY:SIGNATURE <br />