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CITY OF ORONO * Z 0 1 5 - 0 0 4 3 3� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/20/2015 <br /> ' ORONO, MN 55356- <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2470 COBBLESTONE CT <br /> PIN : 33-118-23-11-0080 <br /> LEGAL DESC : STONEBAY SIXTH ADDITION <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : FIRE SYSTEMS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SPRINKLER SYSTEM- IN BUILDING <br /> NOTE: [NSPECTIONS 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 THE VALUTATION 450 <br /> APPLICANT FIRE SPRINKLER- RESIDENT[AL 50.00 <br /> STATE SURCHARGE VAL OTHER 0.23 <br /> L[FESAVER FIRE PROTECTION, LLC MAIL-IN FEE 2.00 <br /> 7500 WAYZATA BLVD <br /> GOLDEN VALLEY, MN 55426- TOTAL 52.23 <br /> (612)990-7930 Payment(s) <br /> Minnesota State License#: FIRE-C40 CHECK 6357 52.23 <br /> OWNER <br /> RICHARDS, PAUL&DIANE <br /> 2470 COBBLESTONE CT <br /> LONG LAKE, MN 55356- <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 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 /> revoked at any time for due cause. - <br /> � ;' ���� <br /> � � ;� `�� - �� �-�-�c� � �/, �� � <br /> �- <br /> Applicant Permitee Signature ate Issued By Signature Date <br />