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CITY OF ORONO PERMIT NO.: 2010-00324 <br /> f 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 05/11/2010 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1801 WEST FARM RD <br /> PIN : 27-118-23-44-0019 <br /> LEGAL DESC : N/A <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FUEL STORAGE <br /> VALUATION : $ 2,150.00 <br /> NOTE: ABANDON UNDERGROUND 1,000 GALLON FUEL STORAGE TANK <br /> APPLICANT <br /> MECHANICAL 50.00 <br /> DEAN'S TANK INC. STATE SURCHARGE MECH(VALUATION) 1.08 <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 53.08 <br /> PAID WITH CC# 8858 <br /> OWNER <br /> PIERPONT,JAMES&JUDITH <br /> 1801 WEST FARM RD <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 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 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. �o <br /> o t,,e <br /> Applicant Permitee Signature Date Issued By Ognature L i ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />