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e , <br /> - CITY�OF ORONO PERMIT NO.: 2oos-oo�39 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE IssuEn: 08/19/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 585 BROWN RD S <br /> PIN : 03-117-23-31-0003 <br /> LEGAL DESC : UNPLATTED 03 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> APPLICANT SEPTIC NEW 100.00 <br /> RAYCO EXCAVATING STATE SURCHARGE SEPTIC 0.50 <br /> 770 BROOKLINE AVE. TOTAL 100.50 <br /> ST PAUL,MN 55119- <br /> (651)735-2266 <br /> OWNER <br /> CULLITON,JOHN <br /> 6225 E SUNNYFIELD RD <br /> MINNETRISTA,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'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. 1'his permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming 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 plicant is responsible for assuring all required inspections aze <br /> req ted in conformance with the State Building Code.This permit may be <br /> rev ed at any time for e c se. <br /> / / 0 / l l � 0 <br /> Ap i t Permit S' nat e Date Is ed y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DES RI ABOVE. <br />