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PERMIT <br /> CITY OF ORONO PERMIT TYPE: <br /> tEC:HA,t <br /> �I CAI <br /> 1335 Brown Rd. South • P.O. Box 66 Permit Number: 004749 <br /> Crystal Bay, Minnesota 55323 Date Issued: 10/28/9.3 <br /> (612)-473-7357 <br /> SITE ADDRESS: <br /> 998 WILDHURST TR <br /> CH <br /> P . I . N. r 07-117-23-13-0216 <br /> 1E, <br /> DESCRIPTION: <br /> HTG SYSTEMS <br /> 3 HEATING SYSTEMS FUEL NATURAL GAS MAKE LENNOX <br /> MODEL G2UQ5/GH19P3/G20 <br /> AIR CONDITIONING MAKE LENNOX MODEL H'=;24-E51/H:_;i4-2 <br /> 11 VENTILATION MAKE 1 KI T/88A/ DRYERS <br /> 1 GAS LINE INSPECT <br /> r-rry nr nr.r J l <br /> Li i! VI L'li Lll tit <br /> I.LI Jtr4L OFFICE <br /> VL <br /> 13137(.10000 <br /> "• <br /> REMARKS: <br /> 01 WI 10s.;;6} <br /> :=irlrl/ <br /> 1 GL.L.r:.V�!L VL+ ff !7 <br /> LJL1I •JV! <br /> :51 7VVV00 # <br /> FEE SUMMARY: <br /> CEN LN 1•JV <br /> CHL..0}},, IL 107•V0 <br /> _L4TT-THAN,k• WI <br /> Bas_ <br /> Fee $1{:f5. 00 MAIL IN itiffaa,001 R01 7.12:09 <br /> Surcharge 1- Total Fee $107 .00 0/2x`92 <br /> CO 1 1�•J iW. <br /> Subtotal $105. 50 <br /> CONTRACTOR: - Applicant - OWNER: <br /> KLEVE HTG & AC: 39414211 11 WAADE ROBERT <br /> PIONEER TRAIL 998 WILDHURST TR <br /> EDEN PRAIRIE MN 55::44 ORONO i MN 55364 <br /> (61 ) 941-411 472-582 <br /> THE UNDERS'I G IED 'HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS <br /> SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF <br /> ORONO 'ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> L_ <br /> • <br /> APPLICANT/PERMITEE SIGNATURE ISSUED BY SIGNATURE ,GX_/ <br />