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� � <br /> CITY OF ORONO * 2 0 1 6 — 0 1 3 5 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1UO3/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2500 SHADYWOOD 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-BUSINESS <br /> CONSTRUCTION TYPE : ALARM SYSTEM <br /> NOTE: INSPECTIONS ARE DONE BY FIRE MARSHALL,JAMES VAN EYLL. <br /> PLEASE CALL JAMES VAN EYLL DIRECTLY AT:(952)473-9701 TO SET UP AN[NSPECTION. <br /> ENTER CONTRACT PRICE 5000 ENTER THE VALUTATION 5000 <br /> APPLICANT FIRE ALARM 123.87 <br /> STATE SURCHARGE VAL OTHER 2.50 <br /> TOTAL LIFE SECURITY,LLC <br /> 321 WILSON ST NE TOTAL 126.37 <br /> MINNEAPOLIS,MN 55413- payment(s) <br /> (612)676-2020 CREDIT CARD 3998 126.37 <br /> Minnesota State License#: FIRE-TS646980 <br /> OWNER <br /> Ugorets 8098 LLC <br /> 410 11TH AVE S <br /> HOPKINS,MN 55343- <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 does <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 compicd with whether or not specitied 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 l80 days at any ti�ne 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 /> � ..,���5 c� /l l �3 / /� <br /> Applicant Permitee Signature _ Date Issued By ignature Date <br />