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CI Y OF ORONO * 2 0 1 6 - 0 1 2 3 0 * <br /> ` 2750 LLEY PARKWAY DATE ISSUED: 10/14/2016 <br /> O ONO,MN 55356- <br /> (952)249-4 00 FAX: (952) 249-4616 <br /> ADDRESS : 2500 SHADYWOOD RD <br /> PIN : 20-117-23-11-0034 <br /> LEGAL DESC : REG.LAND SURVEY 1�i0. 1630 <br /> : LOT 000 BLOCK OQO <br /> PERMIT TYPE : FIRE SYSTEMS <br /> PROPERTY TYPE : COMMERCIAL-BUSI�TESS <br /> CONSTRUCTION TYPE : SPRINKLER SYSTEM-IN BUILDING <br /> NOTE: INSPECTIONS ARE DONE BY FIRE MARSHALL,J S VAN EYLL. <br /> PLEASE CALL JAMES VAN EYLL DIRECTLY AT:(952)473 701 TO SET UP AN INSPECTION. <br /> ENTER THE VALUTATION 15000 <br /> PLI ANT I FIRE SPRINKLER-COMMERCIAL 187.50 <br /> AP C <br /> STATE SURCHARGE VAL OTHER 7.50 <br /> OLSEN FIRE PROTECTION,INC. MAIL-IN FEE 2.00 <br /> 321 WILSON ST NE <br /> MINNEAPOLIS,MN 55413- TOTAL 197.00 <br /> (612)290-4700 Payment(s) <br /> Minnesota State License#:FIRE-0045 I CHECK 21574 197.00 <br /> OWNER ' <br /> Ugorets 8098 LLC � <br /> 410 11TH AVE S <br /> HOPKINS,MN 55343- � <br /> AGREEMENT AND SWORN STATEMENT I <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and does I <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of worl� <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 i <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 any time for due cause. , <br /> � �� <br /> - v� � �. j0 � <br /> Applicant Permitee Signature Date Issued y Signature Date <br /> I <br />