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� CITY OF ORONO PERMIT 1v0.: 2009-00484 <br /> 2750 KELLEY PARKWAY <br /> • ORONO, MN 55356- DATE IssuED: 08/13/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2745 SHADYWOOD RD <br /> PIN : 21-117-23-31-0003 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0500 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SPRINKLER <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�TSTRUCTION TYPE : LAWN SPRINKLER <br /> NOTE: (37)SPRINKLER HEADS-21.6 GPM-WATER SUPPLY-LAKE <br /> APPLICANT SPRINKLERS 35.00 <br /> TEMACA LAWN SPRINKLERS STATE SURCHARGE FLAT-OTHER 0.50 <br /> 3790 HIGHLAND ROAD <br /> ST. BONIFACIUS,MN 55375 TOTAL 35.50 <br /> (952)446-1778 <br /> OWNER <br /> ZIMMERMAN,JAMES <br /> 2745 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 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 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 /> rev ked at any time for due ca e. _ ) <br /> _ ` `(�E- — � <br /> c - <br /> �b''� �� C� ' �� �_���� � c`��?�Ir���7 � ��`�� -�- ��� <br /> App icant P itee S' at re ate Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />