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� ' CITYOFORONO * 20 13 — PJ0337 * <br /> 2750 KELLEY PARKWAY DA'rE issuED: OS/21/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 565 FERNDALE RD N <br /> PIN : 36-118-23-14-0004 <br /> LEGAL DESC : UNPLATTED 36 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTIVITY : MOUND SYSTEM - SEPTIC <br /> NO"I�F: (3)PR}�:CAST CONCRF."I'E"I'ANKS <br /> SILI�:OF TANKS- 1250, 1250, 1000 GALLON <br /> A�-GRADE MOUND- 1500 S.F. <br /> INCREASE SEPTIC TANK CAPACITY"1�0 1250 GALLONS <br /> APPLICANT SEPTIC NEW 200.00 <br /> PATNODE& SONS STATE SURCHARGE SEPTIC 5.00 <br /> 23200 109TH AVE <br /> ROGERS, MN 55374 TOTAL 205.00 <br /> (763)428-7393 <br /> Minnesota State License#: 95 <br /> OWNER <br /> SCHERER, MARK <br /> 4940 YUMA COURT N <br /> PLYMOUTH, MN 55447- <br /> AGREF,MENT AND SWORN STATEMENT <br /> I�hc���ork t�or which this permit is issued shall be performed according to <br /> thc approvcd plans and spccitications,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 /> pernlits. 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 conforman with the State I3uilding Code.This permit may bc <br /> revol.� r cause. � <br /> � � ;� � �a l' � �-� � �, �'� ��� ��� �� <br /> �npplicant Permitee Signature Date �� Issu By Signature Date <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />