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CITY OF ORONO PERMIT NO.: 2010-00444 <br /> 2750 KELLEY PARKWAY <br /> • <br /> ORONO,MN 55356- DATE ISSUED: 06/10/2010 <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 765 OLD CRYSTAL BAY RD N <br /> PIN : 33-118-23-21-0001 <br /> LEGAL DESC : UNPLATTED 33 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : INSTITUTIONAL-SCHOOL <br /> CONSTRUCTION TYPE : FUEL REMOVAL <br /> VALUATION : $ 9,495.00 <br /> NOTE: REMOVE 10,000 GALLON UNDERGROUND FUEL STORAGE TANK <br /> APPROVED BY FIRE MARSHALL JAMES VAN EYLL&LYLE OMAN <br /> APPLICANT MECHANICAL 118.69 <br /> ZAHL PETROLEUM MAINTENANCE STATE SURCHARGE(VALUATION) 4.75 <br /> 3101 SPRING ST NE <br /> MINNEAPOLIS,MN 55413- MAIL-IN FEE 2.00 <br /> (612)331-8550 TOTAL 125.44 <br /> OWNER <br /> SCHOOLS,ORONO PUBLIC <br /> 765 OLD CRYSTAL 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 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. <br /> `''hCQ.Lt <br /> Applicant Permitee Signature Date Issued By S ature I P. - <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />