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r � <br /> CITY OF ORONO * 2 0 1 4 — 0 1 1 3 3 * <br /> 2750 KELLEY PARKWAY �ATF �ssuE�: 10/02/2014 <br /> � ORONO, MN 55356- <br /> ����' (, (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRF.SS . KELLEY PKWY � ��? ' j � L�� <br /> �, <br /> PIN : 33-118-23-12-0007 <br /> LEGAL DESC : C1TY OF ORONO ADDN <br /> : LOT 001 BLOCK OOl <br /> PERMIT TYPE : FIRE SYSTEMS <br /> PROPERTY TYPE : COMMERCIAL- BUSINESS <br /> CONSTRUCTION TYPE : SPRINKLER SYSTEM - IN BUILDING <br /> NOTE: [NSPECTIONS ARE DONE BY PIRE MARSI3ALL,JAMGS VAN EYLL. <br /> PLGASG CAI,L JAMES VAN GYLL DIRECTLY A'C:(9�2)473-9701`1'O SGT UP AN INSPECTION. <br /> ENTER THE VALUTATION 28850 <br /> APPLICANT FIRE SPRINKLER-COMMERCIAL 360.63 <br /> STATE SURCHARGE VAL OTHER 14.43 <br /> SUMMIT FIRE PROTEC"i'ION MAIL-IN FEE 2.00 <br /> 575 MINNEHAHA AVE. W. <br /> ST. PAUL, MN 55103- TOTAL 377.06 <br /> (651)251-1880 Payment(s) <br /> Minnesota State License#: BUIL-C-075 CHECK 168857 377.06 <br /> OWNER <br /> City of Orono <br /> ORONO,CITY OF <br /> 2750 KELLEY PARKWAY <br /> P.O. BOX 66 <br /> CRYSTAL BAY, MN 55323- <br /> AGREEMENT AND SWORN STATF,MENT <br /> The work t�or which this pennit is issued shall be performcd according to <br /> Ihe approved plans and specifications,applicable City approvals,and thc <br /> State F�uilding Code. 'I�his permi(is for only the work described and docs <br /> not grant permission for additional or related work which requires separate <br /> penni[s. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not speci�icd herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commcnced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time aftcr work has commcnced. <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 am time for due cause. <br /> � � �p � <br /> � /C �Z /S� (�� �0 / °�' ll <br /> Applicant Permitee Signature ate ' Issu�By Signature Date <br /> I <br /> v � <br /> �' <br />