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PERMIT <br /> CITY OF ORONO PERMIT TYPE: MECHANICAL <br /> 2750 KelleyParkwayP.O. Box 66 <br /> Permit Number: 00788:3 <br /> Crystal Bay, Minnesota 55323 t <br /> (612)473-7357 <br /> Date Issued: 4/:=0/_6 <br /> SITE ADDRESS: <br /> 870 OLD CRYSTAL BAY RD <br /> LSV <br /> P. I . N. ; 09-117-23-12-0006 <br /> DESCRIPTION: <br /> FURNACE/AC/VENT/GAS <br /> 2 HEATING SYSTEMS FLUE SIZE 6' FUEL NATURAL GAS <br /> MAKE CARRIER/RUDD <br /> 1 AIR CONDITIONING HORSE PLOWER :3/4 MAKE CARRIER <br /> MODEL 38C:KBO4S TONS 4 <br /> 1 VENTILATION MAKE 1 KIT/4 BATH <br /> 1 GAS LINE IN'S'ECT MAKE FURN/DRY/WATER H <br /> REMARKS: <br /> FEE SUMMARY: VALUATION $11 , 580 <br /> Base Fee $144. 75 MAIL IN 1L Q <br /> Surcharge 15 ,22 Total Fee $152.04 <br /> Subtotal $150. 54 <br /> CRgTPRtNC - APF I i X <br /> T47417'25CWIliS�i rC IATE='- - : a' <br /> 7801 PARK DR 870 OLD CRYSTAL BAY RD <br /> CHANHASSEN MN .55:317 ORONO MN 55:391 <br /> (612) 474-1725 <br /> THE UNDERSIGNED HEREBY REQUESTS PERM ISS I ON TO MAKE THe REAL ,T ROV ENTS <br /> SPECIFIED' AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH: ALL.,CITY OF <br /> ORONO ORDINANCES AND STATE OF MINNESOTA ` WILDING CODE REQUIREMENTS. <br /> L <br /> -4/ni&elk 46 e)1, //1-terii (Lei-41) <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE <br />