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I have just published my first pass at a .net wrapper for talking to the pager duty api. The source is on github and the package is up on nuget.org.  Here is a quick example of usage:

 
var svc = new PagerDutyAPI("yourpagerdutysubdomain","APIToken");

//Get all the alerts for the last 24 hours
var alerts = svc.GetAlerts(DateTime.Now.AddDays(-1),DateTime.Now,Filter.Unspecified);