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II 11 II I 111 II II III 1111111 <br /> CITY OF ORONO * 20 1 4 - 00 1 88 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/12/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 875 WAYZATA BLVD W <br /> PIN : 35-118-23-44-0011 <br /> LEGAL DESC : UNPLATTED 35 118 23 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : FIRE SYSTEMS <br /> PROPERTY TYPE : INSTIT ld-AL-$C-446OL C ovv7i''`vIc-` <br /> CONSTRUCTION TYPE : SPRINKLER SYSTEM- IN BUILDING <br /> NOTE: MOVING SOME HEADS FOR SMALL REMODEL <br /> ENTER THE VALUTATION 900 <br /> APPLICANT FIRE SPRINKLER-RESIDENTIAL 50.00 <br /> STATE SURCHARGE VAL OTHER 0.45 <br /> BROTHERS FIRE PROTECTION MAIL-IN FEE 2.00 <br /> 9950 E. HIGHWAY 10 <br /> ELK RIVER, MN 55330- TOTAL 52.45 <br /> (763)441-2290 Payment(s) <br /> Minnesota State License#: BUIL-C-059 CHECK 54708 52.45 <br /> OWNER <br /> KA Reality <br /> 4210 W. SHAKOPEE RD <br /> BLOOMINGTON,MN 55437- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'he 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 /> Applicant Permitee Signature Date Issued : ignature Date <br /> / <br /> I <br />