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- � <br /> CITY OF ORONO * Z 0 1 6 - 0 1 4 3 PJ * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U15/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2730 RAINEY RD <br /> PIN : 04-117-23-43-0015 <br /> LEGAL DESC : TREES TO BE <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SEPTIC(REPAIR) <br /> NOTE: TANK REPLACEMENT <br /> APPLICAi�IT SEPTIC REPAIR 100.00 <br /> TOTAL l 00.00 <br /> PATNODE BROTHERS INC. Payment(s) <br /> 2841 LANDER AVE CREDIT CARD 7103 100.00 <br /> ST. MICHEAL,MN 55376- <br /> (612)919-0112 <br /> Minnesota State License#: sept-L3843 <br /> OWNER <br /> HILLEGASS, JAMES <br /> 2730 RAINEY RD <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 speci6cations,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 l80 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 /> �! �l � �.5� <br /> Applicant P itee Signature Date Issued By Sig ture Date <br />