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' ' CITY OF ORONO * 2 0 1 7 — 0 0 6 0 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/19/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 430 BROWN RD S <br /> PIN : 03-117-23-42-0011 <br /> LEGAL DESC : STRONGHOLD <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT) <br /> ACTIVITY : SEPTIC(MOUND) <br /> NOTE: (2)PRECAST CONCRETE TANKS <br /> 1 -2250 TANK <br /> 1 - 1000 PUMP <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> ELMER J. PETERSON COMPANY TOTAL 400.00 <br /> 5921 DAGUE AVE SE Payment(s) <br /> CHECK 20524 400.00 <br /> DELANO, MN 55328 <br /> (763)972-2420 <br /> Minnesota State License#: BUIL-219 <br /> OWNER <br /> BREHM,EDWARD&KRISTEN <br /> 430 BROWN RD S <br /> WAYZATA,MN 55391- <br /> AGREEMEIYT 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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 aIl 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 /> �-�9 ��� � ,� � � <br /> Applic t Permitee Signature Date Issued Signature Date <br />