Laserfiche WebLink
e <br /> CITY OF ORONO * Z 0 1 6 - 0 0 4 4 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/03/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1926 FAGERNESS POINT RD <br /> P[lY : 17-117-23-23-0016 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 027 BLOCK 000 <br /> PERMIT TYPE : SPRINKLER <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : LAWN SPRINKLER <br /> ACTIVITY : BACKFLOW DEVICE <br /> NOTE: MAKE:ZURN <br /> MODEL: 720A <br /> APPLICANT SPRINKLERS 50.00 <br /> STATE SURCHARGE FLAT-OTHER 1.00 <br /> SAMS LAWN CARE, INC. TOTAL 51.00 <br /> P.O. BOX 848 <br /> WAYZATA,MN 55391- Payment(s) <br /> (612)366-9273 CHECK 7112 51.00 <br /> OWNER <br /> VEGDAHL, KURT <br /> 1926 FAGERNESS PT RD <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 rela[ed 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 afrer 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 time for d ause. <br /> I�� �C/ V �� �� <br /> Applicant Permitee Signature Date Issued ignature Date <br />