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CITY OF ORONO PERMIT NO.: 2009-00353 <br /> 2750 KELLEY PARKWAY <br /> . <br /> ORONO, MN 55356- DATE ISSUEn: 06/24/2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4060 DAHL RD <br /> PIN : 07-117-23-11-0020 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT 016 BLOCK 001 <br /> PERMIT TYPE : SPRINKLER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE ; cnor� *�z�R SYSTEM <br /> Ll����-�V1 <br /> NOTG: AVB BACKFLOW DEVICF-SPRINKLERS-HUNTER,PGPS-30 HUNTER PRO-SPRAYS-42 <br /> APPLICANT FIRE SPRINKLER-RESIDENTIAL 35.00 <br /> BERGERSON-CASWELL INC. STATE SURCHARGE FLAT-OTHER 0.50 <br /> 5115 INDUSTRIAL ST. TOTAL 35.50 <br /> MAPLE PLAIN, MN 55359 <br /> (763)479-3121 <br /> OWNER <br /> NEVE, MR& MRS. JAMES <br /> 4060 DAHL RD <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall bc 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 afier 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 /> re t any time for due c�%�ye <br /> // � <br /> �G �` ..---��� / �� �� / � <br /> Applicant Permitee Signat e Date ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WOR OTHER THAN DESCRIBED ABOVE. <br />