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CITY OF ORONO PERMIT NO.: 2010-00521 <br /> , 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE IssUEn: 07/08/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2477 SHADYWOOD RD <br /> PIN : 20-117-23-11-0027 <br /> I.EGAL DESC : REG. LAND SURVEY NO. 0088 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : FIRE SYSTEMS <br /> PROPERTY TYPE : RELIGIOUS <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 6000 ENTER THE VALUTATION 6000 <br /> APPLICANT <br /> FIRE ALARM 132.75 <br /> ARMOR SECURITY STATE SURCHARGE VAL OTHER 5.00 <br /> 2601 STEVENS AVE <br /> MINNEAPOLIS,MN 55408 TOTAL 137.75 <br /> (612)870-4142 <br /> Minnesota State License#: TS0070 <br /> OWNER <br /> IMF <br /> INTL MINISTERIAL FELLOWSHIP(IMF) <br /> 1109 MOORE LAKE DRIVE NE <br /> FRIDLEY, MN 55432- <br /> AGREEMENT A1vD 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 goveming 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 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 /> voked t apy t e o cause. <br /> - .i.l�t� / G.J / �� ��-f--L—L m-�-�Ge.v+ � � —�"/0 <br /> Applican Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />