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e <br /> � CITY OF ORONO PERMIT NO.: 2oiaoo9a2 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/1 U2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 700 SIXTH AVE N <br /> PIN : 25-118-23-32-0003 <br /> LEGAL DESC : UNPLATTED 25 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTIVITY : MOUND SYSTEM-SEPTIC <br /> NOTE: (3)PRECAST CONCRETE TANKS-EACH 1500 GALLONS <br /> MOUND SYSTEM-44 X 88 S.F. <br /> APPLICANT SEPTIC NEW 200.00 <br /> BURNS EXCAVATING,INC. STATE SURCHARGE SEPTIC 5.00 <br /> 3470 CO.RD 21 <br /> MAYER,MN 55360- TOTAL 205.00 <br /> (612)685-4303 <br /> Minnesota State License#: 1888 <br /> OWNER <br /> STEINER,BRUCE <br /> 144 EDGEWOOD AVE S <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 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 consVuction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applic is responsible for assuring all required inspections aze <br /> request in nformance with the State Building Code.This permit may be <br /> revo d at y time for du use. <br /> -- � � � /O/ // / /!> <br /> Appl�c e ite S�gnature Date ssue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />