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CITY OF ORONO � 1 s - 0 1 0 4 z * <br /> � . 2750 KELLEY PARKWAY DATE ISSUED: 09/O1/2016 <br /> . , ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2445 SHADYWOOD RD <br /> PIN : 20-117-23-11-0015 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : FIRE SYSTEMS <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ALARM SYSTEM <br /> ENTER CONTRACT PRICE 9020 ENTER THE VALUTATION 9020 <br /> APPLICANT FIRE ALARM 201.32 <br /> STATE SURCHARGE VAL OTHER 4.51 <br /> CITY VIEW ELECTRIC MAIL-IN FEE 2.00 <br /> 1145 SNELLING AVE N <br /> ST. PAUL, MN 55108- TOTAL 207.83 <br /> (651)659-9496 Payment(s) <br /> Minnesota State License#: ELEC-EA000384 CREDIT CARD 1508 207.83 <br /> OWIYER <br /> Bridgewater Bank <br /> 3800 AMERICAN BLVD W <br /> SUITE 100 <br /> BLOOMINGTON, MN 55431- <br /> AGREEME1vT 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 180 days of the date of issuance,or if construction is <br /> suspended Yor 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 /> ,�G� <br /> i , <br /> (�/�/ �Y_t'L---. i�!I�E ) � L�cs'� G-('/�.� (`� �j„ l� l �� <br /> Applicant Permitee Signature ' ' Date IssuedBy;Signature � Date <br />