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CITY OF ORONO II 111111 H I I II <br /> * 2 0 1 7 - 0 1 5 8 9 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/05/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1840 FOX ST <br /> PIN : 03-117-23-42-0008 <br /> LEGAL DESC : HI ACRES TWO <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT) <br /> ACTIVITY : SEPTIC(MOUND) <br /> NOTE: SIZE OF TANKS-2250 AND 1300 <br /> PRECST CONCRETE <br /> MOUND SYSTEM <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> BURSCH BROTHERS INC. TOTAL 400.00 <br /> Payment(s) <br /> P.O.BOX 55 CHECK 4092 400.00 <br /> HANOVER,MN 55341 <br /> (612)221-1493 <br /> Minnesota State License#:BUIL-2727 <br /> OWNER <br /> MCNAE,ANGILEA <br /> 1840 FOX ST <br /> WAYZATA,MN 55391- <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,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 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 State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> 6--77 q61 5 <br /> Applicant Permitee Signature Date Issued By Si ure 1)atc <br />