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CITY OF ORONO * 2 0 1 6 - PJ 1 3 8 7 * <br /> „r 2750 KELLEY PARKWAY DATE ISSUED: 1U22/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2700 COPPER VIEW DR <br /> PIN : 33-118-23-43-0017 <br /> LEGAL DESC : ROSCH ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SEPTIC(REPAIR) <br /> NOTE: SEPTIC REPAIR-PRECAST CONCRETE TANKS <br /> I APPLICANT SEPTIC REPAIR 100.00 <br /> TOTAL 100.00 <br /> ELMER J. PETERSON COMPANY Payment(s) <br /> 5921 DAGUE AVE SE CHECK 20263 100.00 <br /> DELANO, MN 55328 <br /> (763)972-2420 <br /> Minnesota State License#: BUIL-219 <br /> OWNER <br /> PETERSON, JEFFREY&ELIZABETH <br /> 2700 COPPER VIEW DR <br /> LONG LAKE,MN 55356- <br /> AGREEMEKT 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 Ihe date of issuance,or if construction is <br /> suspended for a period of I 80 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 at any time for due cause. ��� <br /> j; <br /> ,.,:;a,�.,9� �� l.�/���,�22- � � �C��'1 E�J ` � --���� l � i ��i ��' <br /> ' Applicant ermitee Signature Date Issued By Signature Date <br />