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CITY OF ORONO * 2 0 1 3 - 0 0 3 1 8 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OS/06/2013 <br /> r ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 145 SMITH AVE <br /> PIN : 02-117-23-21-0019 <br /> LEGAL DESC : ORONO ORCHARDS <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FUEL STORAGE TANK REMOVAL <br /> VALUATION : $ 2,550.00 <br /> NOTE: MSPECTIONS ARE DONE BY FIRE MARSHALL,JAMES VAN EYLL. <br /> PLEASE CALL JAMES VAN EYLL DIRECTLY AT:(952)473-9701 TO SET UP AN INSPECTION. <br /> APPLICANT MECHANICAL 50.00 <br /> DEAN'S TANK INC. STATE SURCHARGE MECH(VALUATION) 1.27 <br /> P.O.BOX 22515 <br /> ROBBINSDALE,MN 55422 MAIL-IN FEE 2.00 <br /> (763)535-0194 MISC FEE 0.00 <br /> Minnesota State License#:475 TOTAL 53.27 <br /> PAID WITH CC# 9536 <br /> OWNER <br /> GHERARDI,LORI <br /> 2985 WATERTOWN RD <br /> WAYZATA,MN 55391- <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 does <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming 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 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. <br /> l l L��?�'L-�'� l l <br /> Applicant Permitee Signature Date Issued By i ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. <br />