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CIT OF ORONO PERMIT NO.: 2009-00420 <br /> 2750 LLEY PARKWAY <br /> OR NO,MN 55356- DATE ISSUED: 07/22/2009 <br /> 952 249-46 0 FAX: 952 249-4616 <br /> ADDRESS : 405 OLD CRYSTAL BAY RD N <br /> PIN : 33-118-23-24-0007 <br /> LEGAL DESC : DUMAS ORCHARDS <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FUEL REMOVAL <br /> VALUATION : $ 700.00 <br /> NOTE: REMOVE UNDERGROUND FUELOIL TANK - 560 G LONS <br /> NOTE: CALL JAMES VAN EYLL AT 952-473-9701 FOR INSPEC ON PRIOR TO BACKFILLING <br /> APPLICANT MECHANICAL 50.00 <br /> MID AMERICA STATE SURCHARGE(VALUATION) 0.50 <br /> 6989 55 STREET N <br /> SUITE C TOTAL 50.50 <br /> OAKDALE,MN 55128 PAID WITH CASH 50.50 <br /> (651)779-1900 <br /> OWNER <br /> MN DOT/STATE OF MN <br /> MN,MN DOT/STATE OF <br /> DIRECT OLD CRYSTAL BAY RD N <br /> ST.,MN 55155 <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 i nformance with the State Building Code.This permit may be I <br /> revoke t an time for due cause. 1 <br /> Appli 15ermitee Signature Date cz-,>a <br /> Is ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />