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- � CITY OF ORONO PERMIT NO.: 2009-00288 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/09/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 101 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0006 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : SPRINKLER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAWN SPRINKLER <br /> NOTE: BACKFLOW DEVICE-PVB <br /> HYDRALIC CALCS-24,675 SQ.FT <br /> NUMBER OF SPRINKLERS-49 <br /> APPLICANT SPRINKLERS 35.00 <br /> MASTER SPRINKLER SYSTEMS STATE SURCHARGE FLAT-OTHER 0.50 <br /> 11516 MINNETONKA MILLS RD <br /> MINNETONKA, MN 55305 TOTAL 35.50 <br /> (612)933-3999 <br /> OWNER <br /> ESTHER,ALBERT <br /> 101 CHEVY CHASE DR <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 sepazate <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 /> revo at any time for due ca se. <br /> � � � � �� , <br /> App icant Permitee Sig ture Date �/ /� <br /> I ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />