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, CITY OF ORONO * 2 pJ 1 7 — 0 0 5 2 0 � <br /> 4 2750 KELLEY PARKWAY DATE ISSUED: 05/2M2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 300 BIG ISLAND <br /> PIN : 23-117-23-32-0027 <br /> LEGAL DESC : MORSE ISLAND PARK <br /> : LOT 063 BLOCK 000 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT) <br /> ACTIVITY : SEPTIC(TRENCHES) <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> MAIL-IN FEE 2.00 <br /> BOHN WELL DRILLING CO. TOTAL 402.00 <br /> 18190 DAIRY LANE Payment(s) <br /> JORDAN,MN 55352- CREDIT CARD 4715 402.00 <br /> (952)445-4809 <br /> Minnesota State License#: BUIL-1043 <br /> OWNER <br /> HEIMERL,CRAIG&CINDY • <br /> 100 MOUND AVE <br /> EXCELSIOR,MN 55331- <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permiu. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified hereia This permit will <br /> expire and become null and void if construction suthorized 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 ue <br /> requested in confortnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. �� <br /> � <br /> � ���l Il�-`-� ��/) �.�e�' `���> � �Z�� /�? <br /> Applicant Permitee Signature Date Issued By Signature Date <br />