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X- CITY OF ORONO H �I '1Iel 111[ III 1 *( <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/02/2016 <br /> 1C:) ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : ORCHARD PARK RD <br /> PIN : 32-118-23-23-0012 <br /> LEGAL DESC : ORCHARD FARMS <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : FIRE SYSTEMS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SPRINKLER SYSTEM-IN BUILDING <br /> NOTE: RESIDENTIAL FIRE SPRINKLER SYSTEM <br /> ENTER THE VALUTATION 17625 <br /> APPLICANT FIRE SPRINKLER-RESIDENTIAL 220.31 <br /> STATE SURCHARGE VAL OTHER 8.81 <br /> VIKING AUTOMATIC SPRINKLER CO. MAIL-IN FEE 2.00 <br /> 301 YORK AVE <br /> ST.PAUL,MN 55130- TOTAL 231.12 <br /> (651)588-3300 Payment(s) <br /> Minnesota State License#:BUIL-C-005 CHECK 1004515E 231.12 <br /> OWNER <br /> MULHERAN,PATRICK&MELISSA <br /> 4128 HALLGREN LA <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 /> revoked at any time for due cause. <br /> • <br /> C`74/1Jiu � � ' -e6 /l 1027 /h <br /> Applicant Permitee Signature Date Issue. Byf gnature Date <br />