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CITY OF ORONO * 2 0 1 5 - 0 0 3 1 0 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 03/19/2015 <br /> , ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3880 SHORELINE DR <br /> PIN : 17-117-23-33-0151 <br /> LEGAL DESC : LTNPLATTED 17 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : FUEL STORAGE TANK <br /> VALUATION : $ 3,065.00 <br /> NOTE: FIRE MARSHAL TO INSPECT-JAMES VAN EYLL 952-473-9701 OR 952-367-6447 <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.53 <br /> ZAHL PETROLEUM MAINTENANCE MAIL-IN FEE 2.00 <br /> 3101 SPRING ST NE <br /> MINNEAPOLIS,MN 55413- TOTAL 53.53 <br /> (612)331-8550 Payment(s) <br /> Minnesota State License#:mech-37 CHECK 7047 53.53 <br /> OWNER <br /> Hennepin County <br /> A 1730 GOVERNMENT CTR <br /> 300 S 6TH STREET <br /> MINNEAPOLIS,MN 55487- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for 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 dces <br /> not grant pertnission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shali 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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � 'N J <br /> G � ( �i,��-- �--�-�--t--� c�vvi.�u-� � � l 9� �... <br /> Applicant Permitee Signature Date Issued By Signature Date <br />