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� � CITY OF ORONO PERMIT NO.: 2008-00025 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �ssUEn: 07/15/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> AD[7iRESS : 475 FERNDALE RD N <br /> PIN : 36-118-23-14-0012 <br /> LEGAL DESC : HAUSER LAUER WCC ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> APPLICANT SEPTIC NEW 100.00 <br /> BURNS EXCAVATING, INC. <br /> 3470 CO. RD 21 STATE SURCHARGE SEPTIC 0.50 <br /> MAYER, MN 55360 TOTAL 100.50 <br /> �) <br /> Minnesota State License#: 1888 <br /> OWNER <br /> CLAPP, THOMAS& LAURA <br /> 475 FERNDALE RD N <br /> WAYZATA,MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for�vhich this permit is issued shall be perfarmed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work dcscribed and does <br /> not grant permission for additional or related work which requires separa[e <br /> permits. All provisions of laws and ordinances goveming[his 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[he date of issuance,or if construction is <br /> suspended tbr a period of I80 days a[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 /> revo�dat n ime for due ca e. <br /> �- � � ,� l 5 /�%� 7 / / /o2�vf� <br /> App �cant Permit e Signature Date I ed By Signature � Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />