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� ` CITY OF ORONO <br /> J 2750 KELLEY PARKWAY * 2 0 1 7 - 0 0 7 8 0 * <br /> DATE ISSUED: 07/10/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1135 SPRING HILL RD <br /> PIN : 26-118-23-43-0006 <br /> LEGAL DESC : SPENSER ADDITION <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT) <br /> ACTIVITY : SEPTIC(MOLJND) <br /> NOTE: (3)PRECAST CONCRETE TANKS <br /> ADDING(1)TANK <br /> SIZE OF TANKS 3000+ <br /> 1250 MINIMUM <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> T.J. PAULSON CONSTRUCTION TOTAL 400.00 <br /> Payment(s) <br /> 17341 321ST AVE NW CHECK 1479 400.00 <br /> PRINCETON,MN 55371- <br /> OWNER <br /> FULLERTON,ROBERT&CAROLINE <br /> 1135 SPRING HILL RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORI�T 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 perrrtit is for only the work described and dces <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.1'his permit may be <br /> revoked at any time for due cause. <br /> � <br /> � � / �� / �/ <br /> Applicant Permitee Signature Date Issued y Signature Date <br />