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CITY OF ORONO * Z 0 1 6 - 0 1 4 9 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1 U30/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2460 COBBLESTONE CT <br /> PIN : 33-118-23-11-0081 <br /> LEGAL DESC : STONEBAY S[XTH ADDITION <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : FIRE SYSTEMS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SPRINKLER SYSTEM -IN BUILDING <br /> NOTE: INSPECT[ONS 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 3650 <br /> APPLICAI�IT FIRE SPRINKLER-RESIDENTIAL 50.00 <br /> STATE SURCHARGE VAL OTHER 1.83 <br /> LIFESAVER FIRE PROTECTION, INC. TOTAL 51.83 <br /> 7500 WAYZATA BLVD Payment(s) <br /> GOLDEN VALLEY, MN 55426- CHECK 7152 51.83 <br /> (612)930-7828 <br /> Minnesota State License#: BUIL-0060 <br /> OWNER <br /> Wooddale Builders <br /> 6117 BLUE CIRCLE <br /> SU[TE 101 <br /> MINNETONKA, MN 55343- <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 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[ime for due cause. <br /> � �J ' l 1 � '� � i b <br /> Applicant Permitee Signature Date Issued By 'gnature Date <br />