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- CITY OF ORONO * z 0 1 5 - PJ 1 5 0� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/OU2015 <br /> ' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3225 CASCO C[R <br /> PIN : 20-117-23-43-0021 <br /> LEGAL DESC : SPR[NG PARK <br /> : LOT 029 BLOCK 000 <br /> PERMIT TYPE : F[RE SYSTEMS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTI01�1 TYPE : SPRINKLER SYSTEM-IN BUILDING <br /> NOTE: [NSPECTIONS 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 THE VALUTATION 14400 <br /> APPLICANT FIRE SPRINKLER- RESIDENTIAL 180.00 <br /> STATE SURCHARGE VAL OTHER 7.20 <br /> BROTHERS FIRE PROTECTION TOTAL 187.20 <br /> 9950 E. HIGHWAY 10 Payment(s) <br /> ELK RNER,MN 55330- CHECK 60806 187.20 <br /> (763)441-2290 <br /> Minnesota State License#: BUIL-C-059 <br /> OWNER <br /> LEESTMA, MARTIN& KATHRYN <br /> 3225 CASCO CIR <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 specitied 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 construc[ion 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 /> 1 � �j�? <br /> �1 { t.�c� �..�u-�� ��,` C.' 'l L �e�- t `�� ��_ � � ���� <br /> � � <br /> Applicant Permitee Signatur Date [ssued By Signature Date <br />