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CITY OF ORONO PERMIT NO.: 2010-00282 <br /> s ~ � 275 KELLEY PARKWAY <br /> RONO, MN 55356- DATE ISSUED: 05/13/2010 <br /> 952 24 —4600 FAX: 952 249-4616 <br /> ADDRESS : 2500 SHADYWOO RD <br /> PIN : 20-117-23-11-0034 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1630 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : FIRE SYSTEMS <br /> PROPERTY TYPE : COMMERCIAL-BiJSINESS <br /> CONSTRUCTION TYPE : SPRINKLER SYSTEM-IN BUILDING <br /> NOTE: INSPECTIONS ARE DONE BY FIRE MARSHALI,,JAMES VAN EYLL. <br /> PLEASE CALL JAMES VAN EYLL DIRECTLY AT:(952)473-9701 TO SET UP AN INSPECTION. <br /> ENTER THE VALUTATION 8100 <br /> APPLICAPiT FIRE SPRINKLER-COMMERCIAL 101.25 <br /> SUMMIT FIRE PROTECTION I STATE SURCHARGE VAL OTHER 4.05 <br /> 575 MINNEHAHA AVE. W. 'I <br /> ST.PAUL,MN 55103- MAIL-IN FEE 1.60 <br /> (651)251-1880 TOTAL 106.90 <br /> Minnesota State License#: C-075 <br /> OWNER <br /> FOUNDATION, FRESHWATER <br /> 2500 SHADYWOOD ROAD <br /> C/O DONALD BRAUER <br /> EXCELSIOR,MN 55331- <br /> AGREEMENT AND SWORN 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 oes <br /> not grant permission for additional or related work which requires se azate <br /> permits. All provisions of laws and ordinances governing this type o work <br /> shall be compied with whether or not specified herein.This permit wi I <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if constructio is <br /> suspended for a period of 180 days at any time after work has comme ced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit ay be <br /> revok d at any time for du cause. <br /> �i l�-� � /' D <br /> App icant Permitee ignature Date Is e y Signature Date <br /> SEPARATE PERMITS REQUI D FOR WORK OTHER THAN DESCRIBED ABOVE. <br />