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. � CITY OF ORONO * 2 0 1 6 - 0 1 2 5 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/03/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2264 SHADYWOOD RD <br /> PIN : 17-117-23-43-0124 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : SPRINKLER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAWN SPRINKLER <br /> NOTE: NEW LAWN SPRINKLER <br /> APPLICANT SPRINKLERS 50.00 <br /> STATE SURCHARGE FLAT-OTHER 1.00 <br /> TEMACA LAWN SPRINKLERS TOTAL 51.00 <br /> 3790 EIIGHLAND ROAD Payment(s) <br /> ST. BONIFACIUS,MN 55375 CASH 51.00 <br /> (952)446-1778 <br /> OWNER <br /> WIPSON,DAVID& LISA <br /> 4870 MINNESOTA LANE N <br /> PLYMOUTH,MN 55446- <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 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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer 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 /> �—. /(.i � <br /> � <br /> - �� �� ; �,�� ���x �� � /`�'� => ��- <br /> A plica Permitee 'gnature Date Issued By Sig ature Date <br />