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• - CITY OF ORONO PERMIT NO.: 2009-oo�s2 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUEn: 05/OU2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4195 HIGHWOOD RD <br /> PIN : 07-117-23-44-0022 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SPRINKLER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAWN SPRINKLER <br /> APPLICANT SPRINKLERS 3 5.00 <br /> SPRINKLER SYSTEMS,INC. STATE SURCHARGE FLAT-OTHER 0.50 <br /> 2841 HEDBERG DRIVE <br /> MINNETONKA,MN 55305- TOTAL 35.50 <br /> (952)922-1202 PAID WITH CC# 9018 . <br /> OWNER <br /> SMITH,DOUGLAS&ROBAN <br /> 4195 HIGHWOOD RD. <br /> MOLJND,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 specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only khe 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 consVuction 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> voked at any time for due cause. <br /> �� � �-� �5i o // � <br /> pplic t Pe Signature Date Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. <br />