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CITY OF ORONOI I• * I I I L e i 18 I* <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/15/2015 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 800 OLD CRYSTAL BAY RD N <br /> PIN : 28-118-23-43-0010 <br /> LEGAL DESC : N/A <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : FIRE SYSTEMS <br /> PROPERTY TYPE : INSTITUTIONAL-SCHOOL <br /> CONSTRUCTION TYPE : SPRINKLER SYSTEM-IN BUILDING <br /> ENTER THE VALUTATION 4165 <br /> APPLICANT FIRE SPRINKLER-RESIDENTIAL 52.06 <br /> STATE SURCHARGE VAL OTHER 2.08 <br /> LOW VOLTAGE CONTRACTORS MAIL-IN FEE 2.00 <br /> 4200 WEST 76TH ST <br /> EDINA,MN 55435- TOTAL 56.14 <br /> (952)217-1279 Payment(s) <br /> CHECK 066433 56.14 <br /> OWNER <br /> Orono School District 278 <br /> 685 OLD CRYSTAL BAY RD N <br /> PO BOX 46 <br /> LONG LAKE,MN 55356-0046 <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 /> /O, <br /> LP d c1u- i9 _i-s / /5 //5 <br /> Applicant Permitee Signatike Date Issued By Signature Date <br />