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CITY OF ORONO * z 0 1 6 - 0 1 z 7 � <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/1U2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3960 BAYSIDE RD <br /> PIN : OS-117-23-22-0015 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 203 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> C01�ISTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT) <br /> ACTIVITY : SEPTIC(MOUND) <br /> NOTE: (3)PRECAST CONCRETE TANKS EACH 1250 GALLONS <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> TOTAL 400.00 <br /> WRUCK EXCAVATING, INC. Payment(s) <br /> 15096 102ND ST CREDIT CARD 3901 400.00 <br /> BECKER,MN 55308 <br /> (320)267-1855 <br /> Minnesota State License#: BUIL-2714 <br /> OWIYER <br /> LOVELESS, CHRISTOPHER& KATIE <br /> 3960 BAYSIDE 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 /> thc approved plans and specifications,applicable City approvals,and the <br /> State I3uilding Code. This permit is for only the work described and does <br /> not grant pennission 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 Statc Building Code.This permit may be <br /> revoked at any time for due cause. <br /> C d o �er� �o , �r , � � <br /> Applicant Permitee Signature � Date Issued y ignature Date <br />