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• - CITY OF ORONO * Z 0 1 6 - 0 0 0 3 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU2U2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4165 BAYSIDE RD <br /> PIN : 06-117-23-14-0019 <br /> LEGAL DESC : REG. LAND SURVEY NO.0748 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FUEL STORAGE TANK REMOVAL <br /> VALUATION : $ 1,950.00 <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 /> ABANDON(1)UNDERGROUND 1,000 GALLON PROPANE TANK <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.98 <br /> DEAN'S TANK INC. MAIL-IN FEE 2.00 <br /> P.O. BOX 22515 <br /> ROBBINSDALE, MN 55422 TOTAL 52.98 <br /> (763)535-0194 Payment(s) <br /> Minnesota State License#: BUIL-475 CREDIT CARD 8979 52.98 <br /> OWNER <br /> ALT, JAMES&MARIE <br /> 4165 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and speci�cations,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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of l AO days at any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permi[may be <br /> revoked at any time for due cause. <br /> � > �2-1 � /,� <br /> Applicant Permitee Signature Date Is ued By Signature Date <br />