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CITY OF ORONO * z 0 1 5 - 0 1 1 8 8 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 09/25/2015 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3928 CHERRY AVE <br /> PIN : 08-117-23-33-0018 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : FIRE SYSTEMS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SPRINKLER SYSTEM - IN BUILDING <br /> NOTE: INSPECTIONS ARE DONE BY FIRE MARSHALL,JAMES VAN EYLL. <br /> PLEASE CALL JAMES VAN EYLL DIRECTLY AT:(952)473-9701 TO SET UP AN INSPECTION. <br /> ENTER THE VALUTATION 17600 <br /> APPLICANT FIRE SPR[NKLER- RES[DENTIAL 220.00 <br /> STATE SURCHARGE VAL OTHER 8.80 <br /> FIRE CONSTRUCTION SERIVCES, LLC TOTAL 228.80 <br /> 6238 OBJIBWA RD <br /> BRAINERD, MN 56401- Payment(s) <br /> (888) 107-3473 CHECK 8078 228.80 <br /> Minnesota State License#: FIRE-C133 <br /> OWNER <br /> GUSTAFSON,J&A <br /> 3928 CHERRY ST <br /> MOUND, MN 55364- <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,appiicable 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 conswction 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 �/l/,�') <br /> requested in conformance with the State Building Code.This permit may be : / �(�/ <br /> revoke y tim or due cause. <br /> i <br /> • _ C... � �-� �,��� �� C� ,� � C� <br /> � 2� l.� ' �- i i <br /> p ' nt Pe itee S re ate [ssued By Signature Date <br />