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CITY OF ORONO 111 11 I s 1I 1 11 141 11 I* 20 I * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/12/2018 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 125 BAYSIDE TR <br /> PIN : 06-117-23-22-0029 <br /> LEGAL DESC : BAYVIEW FARMS 2ND ADDN <br /> : LOT 4 BLOCK 1 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT) <br /> ACTIVITY : 434-RESIDENTIAL <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 460.00 <br /> CHUCK'S EXCAVATINGTOTAL 460.00 <br /> Payment(s) <br /> 760 WEST 96TH STREET CHECK 460.00 <br /> CHANHASSEN,MN 55317- <br /> (952)496-2874 <br /> Minnesota State License#: SW-L3320 <br /> OWNER <br /> MERRITT,BRENT&TONI <br /> 18309 TYLER STREET <br /> ELK RIVER,MN 55330- <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 /> —I — 18 <br /> App' ant Permitee Signature Date Issued By Signature Date <br />