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r " � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * z 0 1 6 - 0 1 2 4 0 * <br /> DATE ISSUED: 10/04/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 200 STUBBS BAY RD N <br /> PIN : 32-118-23-42-0003 <br /> LEGAL DESC : LJNPLATTED 32 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FUEL STORAGE TANK REMOVAL <br /> VALUATION : $ 1,850.00 <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 AN INSPECTION. <br /> REMOVAL OF 550 GALLON UNDERGROUND TANK <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.93 <br /> DEAN'S TANK INC. TOTAL 50.93 <br /> P.O.BOX 22515 <br /> ROBBINSDALE,MN 55422 Payment(s) <br /> (763)535-0194 CREDIT CARD 8979 50.93 <br /> Minnesota State License#:BUIL-475 <br /> OWNER <br /> BOLLIS,CHRISTOPER <br /> 350 STUBBS BAY RD N <br /> LONG LAKE,MN 55356- <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 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 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 /> G - � l�i i � <br /> Appli t Permitee Signa re Date Issued B ignature Date <br />