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, CITY OF ORONO PERMIT NO.: 2010-00299 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 5535G- DATE ISSUED: OS/03/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2880 FOX ST <br /> PIN : 04-117-23-31-0011 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> : LOT 023 BLOCK 000 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> /Ylocc�-<'� S-yS�►'� <br /> NOTE: (3)-PRECAST CONCRETE TANKS -MOUND-380 S.F. <br /> APPLICANT SEPTIC NEW 200.00 <br /> PATNODE BROS STATE SURCHARGE SEPTIC 0.50 <br /> 23200 109TH AVE TOTAL 200.50 <br /> ROGERS, MN 55374 <br /> (763)428-7393 <br /> Minnesota State License#: 95 <br /> OWNER <br /> THOMPSON, LESTER <br /> 2880 FOX ST <br /> RT 1 BOX 325 T <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,applicablc City approvals,and the <br /> State Building Code. This pemlit 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 afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance the State Building Code.This perniit may be <br /> revoked at a � e <br /> � 5� � � �o �� � O <br /> App�cant Permitee Signature Date [ssu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. <br />