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CIT� OF ORONO * 2 0 1 6 - 0 0 4 0 5 * <br /> ' 2750 KE�.LEY PARKWAY DATE ISSUED: 04/27/2016 <br /> ,� ORO�TO,MN 55356- <br /> (952)249-460 FAX: (952)249-4616 <br /> ADDRESS : 2500 SHADYWOOD RD <br /> PIN : 20-117-23-11-0034 <br /> LEGAL DESC : REG.LAND SURVEY N0. 1630 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : COMMERCIAL-BUSINE3S <br /> CONSTRUCTION TYPE : FUEL STORAGE TANK RFMOVAL <br /> VALUATION : $ 5,033.38 <br /> NOTE: INSPECTIONS ARE DONE BY FIRE MARSHALL,JAME$VAN EYLL. <br /> PLEASE CALL JAMES VAN EYLL DIRECTLY AT:(952)473-9701 TO SET UP AN INSPECTION. <br /> APPLICANT MECHANICAL 62.92 <br /> STATE SURCHARGE MECH(VALUATION) 2.52 <br /> PUMP&METER SERVICES MAIL-IN FEE 2.00 <br /> 11303 EXCELSIOR BLVD. TOTAL 67.44 <br /> HOPKINS,MN 55343 <br /> (952)933-4800 Payment(s) <br /> CHECK 32455 67.44 <br /> OWNER � <br /> Ugorets 8098 LLC <br /> 410 11TH AVE S <br /> HOPKINS,MN 55343- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to II <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires sepazate I <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.l'his permit will � <br /> expire and become null and void if construction authorized is not I <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be � <br /> revoked at any time for due cause. F <br /> ►. ` ' �,.,e�e'`�� i �1i <br /> � C� <br /> Applicant Permitee Signature ate Issued By Signature Date <br />