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i <br /> ` i� CITY OF ORONO PERMIT NO.: 2do�-oo�6� <br /> ,, 2750 KELLEY PARKWAY I <br /> ORONO, MN 55356- DATE ISSUED: �0/29/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3175 JAMESTOWN RD <br /> PIN : 28-118-23-33-0014 <br /> LEGAL DESC : LIBERTY ACRES 2ND ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FUEL REMOVAL <br /> VALUATION : $ 0.00 <br /> NOTE: REMOVE 1000 GAL UNDERGROUND FUEL TANK <br /> � I <br /> � <br /> APPLICANT MECHANICAL 50.00 <br /> DEAN'S TANK INC. STATE SURCHARGE MECH(VALUATION) I 0.50 <br /> P.O.BOX 22515 <br /> ROBBINSDALE,MN 55422 MAIL-IN FEE 2.00 <br /> (763)535-0194 MISC FEE I 0.00 <br /> Minnesota State License#:475 TOTAL I 52.50 <br /> PAID WITH CC# 8858 I <br /> �WNER <br /> OSTENDORF, SCOTT& ELISSA <br /> 3175 JAMESTOWN RD <br /> LONG LAKE,MN 55356 <br /> AGREEMENT AN SWORN STATEMENT <br /> 1'he work for which ihis permit i issued shall be performed according to <br /> the approved plans and specifica ions,applicable City approvals,and the <br /> State Building Code. This perm is for only the work described and does <br /> not grant permission for additio al or related work which requires sepazate <br /> pern►its. All provisions of laws d ordinances goveming this type of work <br /> shall be compied with whether o not specified herein.This permit will I <br /> expire and become null and voidl 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 da�s at any time after work has commenced. <br /> The applicant is responsible for$ssuring all required inspections are I <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cau�e. <br /> /n"�"'/ / / �I � <br /> Applicant Permitee Sign ture Date Issued By ature te <br /> SE�ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. i <br />