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� ti <br /> CITY OF ORONO PERMIT NO.: 2009-oo4so <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 07/06/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2680 SHADYWOOD RD <br /> PIN : 21-117-23-24-0046 <br /> LEGAL DESC : SHORE HILLS <br /> : LOT O15 BLOCK 000 <br /> PERMIT TYPE : SPRINKLER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAWN SPRINKLER <br /> APPLICANT SPRINKLERS 35.00 <br /> INSTANT RAIN STATE SURCHARGE FLAT-OTHER 0.50 <br /> 815 SW STH ST. <br /> (320)4441661 TOTAL 35.50 <br /> PAID WITH CC# 6622 <br /> OWNER <br /> SEWALL&BRENDA POWERS-SEWALL,BARRY <br /> 2680 SHADYWOOD RD <br /> EXCELSIOR,MN 55331- <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 oniy the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permiu. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified hereia This permit will <br /> expire and become null and void if construc[ion 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �`-�'�t�.��1� `7/ <v �// � �7� (o � /l <br /> Applicant Permitee Sigriature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />