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, r CITY OF ORONO PERMIT NO.: 2011-00749 <br /> , 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuED: 07/27/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2587 KELLY AVE <br /> PIN : 20-117-23-14-0021 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 004 BLOCK 005 <br /> PERMIT TYPE : SPRINKLER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE . L�1d�I SPRTNKI ER , �'>,' '� � 1. ���' �� � �CL— <br /> NOTE: BACKFLOW PREVENTER <br /> APPLICANT SPRINKLERS 35.00 <br /> DORAN ENTERPRISES INC. STATE SURCHARGE FLAT-OTHER 0.50 <br /> 1440 KELLY DRIVE <br /> GOLDEN VALLEY, MN 55427 TOTAL 35.50 <br /> (763)546-5066 <br /> Minnesota State License#: 58224PM <br /> OWNER <br /> WARE, ALEXANDER <br /> 2587 KELLY AVE <br /> EXCELSIOR,MN 55331- <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 /> revo a t o cause. <br /> � � ��� �G�I/ � � <br /> pplicant Permitee Signature Date Issued By � ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVE. <br />