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CITY OF ORONO I* 2 I 0 1 7i 111 [- 0 1 151 'I *I <br /> f 2750 KELLEY PARKWAY DATE ISSUED: 11116/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 797 BRIDGEWATER DR <br /> PIN : 33-118-23-12-0021 <br /> LEGAL DESC : STONEBAY FOURTH ADDITION <br /> : LOT 010 BLOCK 001 <br /> PERMIT TYPE : FIRE SYSTEMS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SPRINKLER SYSTEM-IN BUILDING <br /> NOTE: INSPECTIONS ARE DONE BY FIRE MARSHALL,JAMES VAN EYLL. <br /> PLEASE CALL JAMES VAN EYLL DIRECTLY AT:(952)473-9701 TO SET UP AN INSPECTION. <br /> FIRE SPRINKLER <br /> ENTER THE VALUTATION 4100 <br /> APPLICANT FIRE SPRINKLER-RESIDENTIAL 51.25 <br /> STATE SURCHARGE VAL OTHER 2.05 <br /> LIFESAVER FIRE PROTECTION,INC. MAIL-1N FEE 2.00 <br /> 1000 BOONE AVE N#700 <br /> GOLDEN VALLEY,MN 55427- TOTAL 55.30 <br /> (612)930-7828 Payment(s) <br /> Minnesota State License#:BUIL-0060 CHECK 7448 55.30 <br /> OWNER <br /> Wooddale Builders <br /> 6117 BLUE CIRCLE DRIVE <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 time for due cause. <br /> C / .�.4 1.), ! /( / I (p / I) <br /> Applicant Permitee Signature Date /Issued By Signature V 7/ 4 Date <br />