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CITY OF ORONO PERMIT NO.: 2008-00230 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 09/30/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 3765 WATERTOWN RD <br /> PIN 32-118-23-34-0013 <br /> LEGAL DESC UNPLATTED 32 118 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 /> INGLESIDE ENGINEERING&CONST STATE SURCHARGE SEPTIC 0.50 <br /> P.O.BOX 127 TOTAL 100.50 <br /> LORETTO,MN 55357 <br /> (763)479-1869 <br /> Minnesota State License#: 874 <br /> OWNER <br /> CHUTE,DAVID <br /> 3765 WATERTOWN RD <br /> MAPLE PLAIN,MN 55359- <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 /> Applicant Permitee Signature /Date / /C/ F �� <br /> Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />