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. CITY OF ORONO * z 0 1 5 - 0 1 0 2 4 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 08/24/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2790 SILVER VIEW DR <br /> PIN : 33-118-23-42-0002 <br /> LEGAL DESC : MEYER DAIRY ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW OR REPLACEMENT(SEPTIC SYSTEM) <br /> ACTIVITY : MOUND SYSTEM-SEPTIC <br /> NOTE: 3-PRECAST CONCRETE TANKS EACH 13--GALLONS <br /> MOUND 43 X 89 <br /> ROCKBED 10 X 63 <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> TOTAL 400.00 <br /> ELMER J. PETERSON COMPANY Payment(s) <br /> 5921 DAGUE AVE SE CHECK 19551 400.00 <br /> DELANO, MN 55328 <br /> (763)972-2420 <br /> Minnesota State License#: BUIL-219 <br /> OWNER <br /> COUGHLIN, PATRICK&CONNIE <br /> 2790 SILVER V[EW DR <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed acwrding 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 sepazate <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 all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at a�time for due cause. ]��) <br /> ; g � � d <br /> ;` .� _� ,¢-�. <br /> �`�� � � �' -- �' � �(� �-�.��._�+S C-, � � �� � <br /> icant Permitee Signature Date Issued By Signat e Date <br />