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, . � <br /> CITY OF ORONO PERMIT NO.: 2009-00�04 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �SSUED: 10/2U2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1500 BRACKETTS POINT RD <br /> PIN : 11-117-23-34-0001 <br /> LEGAL DESC : BRACKETTS POINT 2ND ADDITION <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : FUEL STORAGE <br /> VALUATION : $ 2,174.55 <br /> NOTE: INSTALLATION-DIESEL FUEL STORAGE <br /> APPLICANT MECHANICAL 50.00 <br /> PUMP&METER SERVICES STATE SURCHARGE MECH (VALUATION) 1.09 <br /> 11303 EXCELSIOR BLVD. <br /> HOPKINS, MN 55343 TOTAL 51.09 <br /> (952)933-4800 <br /> OWNER <br /> PADDOCK, BRUCE <br /> 920 SHADY LA <br /> WAYZATA, <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> [he 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 addi[ional 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 a y time for due cause. <br /> � /d , 2/,O 9' fD� �� �9 <br /> Applicant Perm ee Signature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />