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111111111111 iiia 111111111111111111111 <br /> • , CITY OF ORONO * 2 0416 0 1 2 4 0 <br /> 2750 KELLEY PARKWAY DAT ED: 09/24/2015 <br /> ORONO,MN 55356- A <br /> (952)249-4600 FAX: (952)249-4616 �4b <br /> ADDRESS : 450 OLD CRYSTAL BAY RD N <br /> PIN : 33-118-23-13-0020 <br /> LEGAL DESC : CRYSTAL BAY BUSINESS CENTER 2ND ADD <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : FIRE SYSTEMS <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ALARM SYSTEM <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 ALARM <br /> ENTER CONTRACT PRICE 1900 ENTER THE VALUTATION 1900 <br /> APPLICANT FIRE ALARM 73.99 <br /> STATE SURCHARGE VAL OTHER 0.95 <br /> GENERAL SECURITY SERVICES CORP TOTAL 74.94 <br /> 9110 MEADOWVIEW ROAD Payment(s) <br /> BLOOMINGTON,MN 55425- CHECK 9103 74.94 <br /> (952)858-5000 <br /> Minnesota State License#: cont-TS000276 <br /> OWNER <br /> Jem Technical <br /> 450 OLD CRYSTAL BAY RD N <br /> LONG LAKE,MN 55356- <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 •• it may be <br /> revoked at any ti for due cause. <br /> /sApp70?I/. / (7/-5— <br /> Applicant <br /> licant Permitee Signature Date Issued By Si nature Date <br />