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CITY OF ORONO PERMIT NO.: 2oos-oo422 <br /> � � 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 12/OS/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2620 KELLY AVE <br /> PIN : 20-117-23-14-0018 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 006 BLOCK 004 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FUEL STORAGE <br /> VALUATION : $ 1,950.00 <br /> NOTE: REMOVAL OF 550 GALLON FUEL OIL TANK <br /> INSPECTION BY FIRE MARSHALL:BILL MEYER 612-490-2307 <br /> APPLICANT MECHANICAL 3 5.00 <br /> DEANS TANK INC. STATE SURCHARGE MECH(VALUATION) 0.98 <br /> P.O.BOX 22515 <br /> ROBBINSDALE,MN 55422 MAIL-IN FEE 1.50 <br /> (763)535-0194 MISC FEE 0.00 <br /> Minnesota State License#:475 TOTAL 37.48 <br /> OWNER <br /> SCOTT,GINGER <br /> 2620 KELLY AVE <br /> EXCELSIOR,MN 55331 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shali 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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 /> `y'11..et,.�.P �� / / / / <br /> Applicant Permitee Signature Date Issued B ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI D ABOVE. <br />