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, CITY OF ORONO * z 0 1 7 — 0 0 6 2 S * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/09/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3669 NORTH SHORE DR <br /> PIN : 08-1 l 7-23-34-0051 <br /> LEGAL DESC : CRYSTAL BEACH <br /> : LOT 003 BLOCK 000 <br /> PERMIT TYPE : SPRINKLER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : BACKFLOW DEVICE/TESTING/REPAIR <br /> APPLICANT SPRINKLERS 50.00 <br /> STATE SURCHARGE FLAT-OTHER 1.00 <br /> OUTDOOR& MORE LLC <br /> P O BOX 359 TOTAL 51.00 <br /> LONG LAKE, MN 55356- Payment(s) <br /> (952)476-8485 CHECK 7102 51.00 <br /> OWNER <br /> ZAHLER, JIM <br /> 3669 NORTH SHORE DR <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 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 ti e for due cause. � � <br /> — ��� <br /> f�,�. ��_L�c�,.�. � �� ``._�s�t� (�, �t� 1�� <br /> Applica t Permitee Si ature Date � Issued By Signature Date <br />