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CITY OF ORONO PERMIT NO.: 2009-00376 <br /> 2750 KELLEY PARKWAY <br /> � <br /> 1 ORONO, MN 55356- �ATE IssuEn: 07/06/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3060 FARV[EW LA <br /> PIN : 04-117-23-34-0014 <br /> LEGAL DESC : FARVIEW <br /> : LOT 004 BLOCK 002 <br /> PERMIT TYPE : SPRINKLER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE , cnnr�.,,rr �n ev�1.T�; �Q�Z`5��� <br /> �" _ <br /> VALUATION : $ 0.00 <br /> NOTE: PVB BACKFLOW DEVICE-RAIN BIRD-MODEL 5004-QUANITY 65 SPRINKLERS <br /> RAIN BIRD-MODEL 1804 <br /> HYDRAULIC CALCULATIONS: NO OF SPRINKLF,RS:5-6 ROTOR PER STATION <br /> TOTAL WATER REQUIRED: 10-12 GPM <br /> APPLICANT SPRINKLERS 35.00 <br /> ENVIRONMENTAL LANDFORMS STATE SURCHARGE(VALUATION) 0.50 <br /> 11030 COUNTY ROAD 17 SE TOTAL 35.50 <br /> DELANO, MN 55328 <br /> (612)472-1306 <br /> OWNER <br /> HAFSTAD, B FLYGENRING&V <br /> 3060 FARVIEW LA <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 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 l80 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 /> r�voked at a��y time for d c ase. <br /> � � .. • �) �, � / L� / � <br /> � / / <br /> Applicant Permitee Signature Date Issued By ig�ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br />