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� CITY OF ORONO ,�2 0 1 6 - 0 1 4 PJ� <br /> ; ' 2750 KELLEY PARKWAY DATE ISSUED: 1 UO3/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4220 CHIPPEWA LA <br /> PIN : 31-118-23-42-0012 <br /> LEGAL DESC : CHIPPEWA 2ND ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : PLUMBING <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAWN SPRINKLER <br /> NOTE: IRRIGATION PERMIT-WILKINS MODEL 720 A <br /> APPLICANT SPRINKLERS 50.00 <br /> STATE SURCHARGE PLBG(<$500) 1.00 <br /> AQUA ENG[NEERING TOTAL 51.00 <br /> 6561 CITY WEST PKWY Payment(s) <br /> EDEN PRAIRIE,MN 55344 CREDIT CARD 3153 51.00 <br /> (612)941-113 8 <br /> OWNER <br /> DBG, LLC <br /> SCHRODER, SUSAN <br /> 4725 WEST LANE <br /> MINNETRISTA,MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only Ihe work described and does <br /> not grant permission for additional or related work which requires separate <br /> pennits. All provisions of laws and ordinances governing this type of work <br /> shall be compicd with whether or not specified herein.This permit wiil <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 du�cause. <br /> i� <br /> �-'\ f% � i� � 3 � G� <br /> App � ermitee Signature Date Issued By �gnature Date <br />