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. CITY OF ORONO * Z 0 1 6 - DJ 0 4 5 8 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: OS/16/2016 � <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 654 SANDSTONE CIR <br /> PIN : 33-118-23-11-0053 <br /> LEGAL DESC : STONEBAY <br /> : LOT 004 BLOCK 002 <br /> PERMIT TYPE : FIRE SYSTEMS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SPRINKLER SYSTEM-IN BUILDING <br /> ACTIVITY : BACKFLOW DEVICE ,f�r'ed <br /> NOTE: INSPECTIONS ARE DONE BY FIRE MARSHALL,JAMES VAN EYLL. <br /> PLEASE CALL JAMES VAN EYLL DIRECTLY AT:(952)473-9741 TO SET UP AN INSPECTION. <br /> RESIDENTIAL FIRE SPRINKLER -PVB BACKFLOW DEVICE <br /> ENTER THE VALUTATION 5000 <br /> APPLICANT FIRE SPRINKLER-RESIDENTIAL 62.50 <br /> STATE SURCHARGE VAL OTHER 2.50 <br /> PRECISION PLUMBING&HEATING INC. TOTAL 65.00 <br /> 4124 MACKENZIE CT Payment(s) <br /> ST. MICHEAL,MN 55376 CREDIT CARD 7760 65.00 <br /> (763)497-7486 <br /> Minnesota State License#:plbg-PC643806,mech-MB004099 <br /> OWNER <br /> Essay Holdings <br /> 21 10 LYNDALE AVE S <br /> MINNEAPOLIS,MN 55405- <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 goveming 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 wnstruction 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 ���� <br /> �� � 7 %�,� e �S �� �-� l/� i i`��z <br /> Appli ant ermitee ignature Date Issued By Sign ure Date <br />