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� <br /> � � CITY OF ORONO * 2 0 1 2 - 0 1 0 6 z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/23/2012 <br /> � ORONO, MN 55356- <br /> �'���' � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS :�45 SHORELINE DR <br /> PIN : 20-117-23-12-0033 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1422 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : FUEL STORAGE TANK REMOVAL <br /> VALUATION : $ 3,825.00 <br /> NOTE: INSPECTIONS ARE DONE BY FIRE MARSHALL,JAMES VAN EYLL. <br /> PLEASE CALL JAMES VAN EYLL DIRECTLY AT:(952)473-9701 TO SET UP A'�' " <br /> REMOVE UNDERGROUND TANK 1000 GALL(��jO " �� <br /> � �s� �, � <br /> �-� �,,�"`�" ) �� <br /> v�' �� �,,�" <br /> � � � o � <br /> �° f/� <br /> � ���� <br /> �� <br /> � � <br /> � , <br /> APPLICANT MECHANICAL 50.00 <br /> DEAN'S TANK 1NC. STATE SURCHARGE MECH (VALUATION) 1.91 <br /> P.O. BOX 22515 <br /> ROBB[NSDALE, MN 55422 MAIL-IN FEE 2.00 <br /> (763)535-0194 TOTAL 53.91 <br /> Minnesota State License#:475 PAID WITH CC# 9536 <br /> OWNER <br /> Shoreline Center <br /> OVERSON,ALECK <br /> 16837 49TH PLACE N <br /> PLYMOUTH, MN 55446- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work ti�r which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <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 afrer 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 duC'cause. <br /> /j1Q�.L!�/l. l l �ryryC.Q,r� i i <br /> Applicant Permitee Signature Date Issued By nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. <br />