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CITY OF ORONO �' iI �' I IH <br /> t w * 20 1 5 - 0 0 6 8 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/09/2015 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 795 OLD CRYSTAL BAY RD N <br /> PIN : 28-118-23-34-0003 <br /> LEGAL DESC : UNPLATTED 28 118 23 <br /> : LOT 000 BLOCK 000 <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 /> ENTER CONTRACT PRICE 78837 ENTER THE VALUTATION 78837 <br /> APPLICANT FIRE ALARM 944.36 <br /> STATE SURCHARGE VAL OTHER 39.42 <br /> SUMMIT CO/MN CONWAY TOTAL 983.78 <br /> 575 MINNEHAHA AVE W <br /> ST.PAUL,MN 55103- <br /> Payment(s) <br /> (651)251-1880 CREDIT CARD 0506 983.78 <br /> Minnesota State License#:FIRE-T5000749 <br /> OWNER <br /> 278,ORONO SCHOOL DIST NO. <br /> 795 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 permit may be <br /> revoked at any time for due cause. <br /> 6 <br /> / <br /> Applicant Permit ignature 6—9 <br /> Date Issued By Signature Date 4 (r <br />