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� CITY OF ORONO * 2 0 1 4 - PJ 0 4 2 7 * <br /> 2750 KELLEY PARKWAY DATE [SSUED: OS/09/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 300 SIXTI-I AVE N <br /> PIN : 25-118-23-41-0001 <br /> LEGAL DESC : UNPLATTED 25 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FUEL STORAGE TANK REMOVAL <br /> VALUATION : $ 3,500.00 <br /> NOTE: INSPEC"['IONS ARE DONE BY FIRE MARSHALL,JAMES VAN EYLL. <br /> PLE�SE CALL.IAMES VAN F.YLL DIRECTLY AT:(952)473-9701 TO SET UP AN INSPECTION. <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) ].75 <br /> DEAN'S TANK INC. TOTAL 51.75 <br /> P.O. BOX 22515 <br /> ROBBINSDALE, MN 55422 Payment(s) <br /> (763)535-0194 CHECK 15093 51.75 <br /> Minnesota State License#: BUIL-475 <br /> OWNER <br /> DAYTON, DOUGLAS <br /> 300 SIXTH AVE N <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORIY 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 [he <br /> S[ate Building Code. This permit is for only the work described and does <br /> not gran[permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commcnced widiin 180 days of the date of issuance,or if consuuction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> 1'he 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 /> 1��� ��7i'�����-- �'.5--!� 1^/� i`.�..r� /�Y l l <br /> Applicant Permitee Signature Date � Issued By i ature Date <br />