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! � <br /> � ' <br /> CITY OF ORONO * 2 0 1 4 - P1 0 9 5 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/08/2014 . <br /> ORONO, MN 55356- . <br /> (952) 249-4600 FAX: (952) 249-4616 ' <br /> ADDRESS : 2420 DUNWOODY AVE <br /> PIN : 20-]17-23-21-0018 <br /> LEGAL DESC : TOWNSITF,OF LANGDON PARK <br /> : LOT 001 BLOCK 007 <br /> PERMIT TYPE : FIRE SYSTEMS <br /> PROPERTY TYPE : RELIGIOUS <br /> CONSTRUCTION TYPE : SPRINKLER SYSTF,M - IN Bl11LDING <br /> ENTER TH� VALUTATION 2804 <br /> APPLICANT FIRE SPRINKLER - RESIDEN7'IAL 50.00 <br /> STATE SURCHARGE VAL OTHER 1.40 <br /> LIFF,SAVER FIRE PROTECTION, INC. MAIL-IN FEE 2.00 <br /> 7500 WAYZATA BLVD <br /> GOLDEN VALLEY, MN 55426- TOTAL 53.40 <br /> (763)473-9010 Payment(s) <br /> Minnesota State License#: BUIL-0060 CREDIT CARD 3937 53.40 <br /> OWNER <br /> Calvary Memorial Church <br /> 2420 DUNWOODY AVE <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1 he work tor which this permit is issued shall be performed accordin�to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State E3uilding Code. This permit is for only the work described and does � <br /> not grant pemiission 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 becomc 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�vork has commenced. <br /> Che 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 tor due cause. <br /> a1,�c.�.__ d � � , 8 , / <br /> Applicant Yermitee �>nature Date Issue 13y Signature Date <br />