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CITY OF ORONO I 1111311111 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/26/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2775 WHITE OAK CIR <br /> PIN : 04-117-23-42-0015 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1447 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT) <br /> ACTIVITY : SEPTIC(MOUND) <br /> NOTE: MOUND SEPTIC SYSTEMS <br /> (1)2250 AND(1)PUMPING CHAMBER <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> J S STEWART COMPANIES, INC. TOTAL 400.00 <br /> Payment(s) <br /> 11030 LAMONT AVE NE CREDIT CARD 8391 400.00 <br /> HANOVER,MN 55341 <br /> 0 <br /> OWNER <br /> LARSON,JAMES&JACKIE <br /> 2775 WHITE OAK CIR <br /> LONG LAKE,MN 55356- <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. I time for due cause. c— <br /> 411111. <br /> W„,0,114A Wt. / <br /> • :Ftcant Permttee Signature Date Issued B 1 ignature Date <br />