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� CITY OF ORONO <br /> � '� 2750 KELLEY PARKWAY * DA�TE ISSUED: OS/8/20 3 * <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 345 FERNDALE RD N <br /> PIN : 36-118-23-41-0028 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 023 BLOCK 001 <br /> PERMIT TYPE : SPRINKLER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAWN SPRINKLER <br /> NOTE: BACKFLOW DEVIF,-AVB-WILKINS-MODEL 720-A <br /> APPLICANT SPRINKLERS 50.00 <br /> OUTDOOR& MORE LLC <br /> P O BOX 359 STATE SURCHARGE FLAT-OTHER 5.00 <br /> LONG LAKE, MN 55356- TOTAL 55.00 <br /> (952)476-8485 PAID WITH CC# 6624 <br /> OWNER <br /> WILLIAMS, JAMES&JUDITH <br /> 345 FERNDALE RD N <br /> WAYZATA, MN 55391 <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 ]80 days of the date of issuance,or if cons[ruction is <br /> suspended for a period of 180 days a[any[ime after work has commenced. <br /> The pplicant is responsi�(e for assuring all required inspections are <br /> re est in nforma �e with the St te�uilding Code.This permit may be � <br /> r o��t time e cause. <br /> "' ���� 5� �Z �l3 <br /> ,� � < , � ���� L3 <br /> Applicant Pe itee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />