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. CITY OF ORONO * � 0 1 2 - 0 PJ 9 8 5 * <br /> � " 2750 KELLEY PARKWAY DATE ISSUED: 10/12/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1205 DICKENSON ST <br /> P[N : 02-117-23-31-0040 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT 000 BLOCK 016 <br /> PERMIT TYPE : SPR[NKLER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAWN SPRINKLER <br /> APPLICANT <br /> SPRINKLERS 50.00 <br /> AQUA ENGINEERING STATE SURCHARGE FLAT-OTHER 5.00 <br /> 6561 CITY WEST PKWY <br /> EDEN PRAIRIE, MN 55344 TOTAL 55.00 <br /> (612)941-1138 PAID WITH CC# 7652 <br /> OWNER <br /> WOTIPKA, LINDA A& LEE A <br /> 9908 N W 20TH ST <br /> PEMBROKE PINES, FL 33024- <br /> AGREEMENT AND SWORN STATEMENT <br /> l'he work for which this pcnnit is issucd shall be perforrned according to <br /> the approved plans and specifications,applicable City approvals,and Uic <br /> State Buildine Code. This pennit is for only the work described and docs <br /> not grant permission for additional or related work which requires separatc <br /> permits. All provisions of laws and ordinances governing this rype 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 /> suspcnded for a period of 180 days at any time after work has commenced. <br /> I�he applicant is responsible for assuring all required inspections are <br /> requested in conf nnance with the State Building Code.This permit may bc <br /> revoked at• time fo <br /> � � �`` ���� � , �z, i �z , , <br /> nppli in ermitee Signature Date Issucd By Si� a ure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED ABOVE. <br />