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� + <br /> CITY OF ORONO * 2 PJ 1 6 - 0 1 0 2 3 * <br /> _. 2750 KELLEY PARKWAY DATE ISSUED: 08/29/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2040 SPATES AVE <br /> PIN : 10-117-23-31-0090 <br /> LEGAL DESC : ORA PARK ON LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FUEL STORAGE TANK <br /> VALUATION : $ 950.00 <br /> NOTE: TANK REMOVAL-550 GALLONS <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.48 <br /> DEAN'S TANK INC. MAIL-IN FEE 2.00 <br /> P.O.BOX 22515 <br /> ROBBINSDALE,MN 55422 TOTAL 52.48 <br /> (763)535-0194 Payment(s) <br /> Minnesota State License#:BUIL-475 CREDIT CARD 4925 52.48 <br /> OWNER <br /> DAMMEN,SUSAN <br /> 2040 SPATES AVE <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORl�1 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 dces <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 I80 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 petmit may be <br /> revoked at any time for due cause. <br /> ` � ,��', !(� <br /> Applicant Permitee Signature Date Issued Signature Date <br />