Laserfiche WebLink
CITY OF ORONO * 2 0 1 4 — <br /> PJ PJ 2 7 4 <br /> ` 2750 KELLEY PARKWAY DATE ISSUED: 04/17/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 1560 TANGLEWOOD RD <br /> PIN 26-118-23-32-0012 <br /> LEGAL DESC TANGLEWOOD <br /> LOT 003 BLOCK 001 <br /> PERMIT TYPE SEPTIC <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE NEW -M tj l<.S <br /> NOTE: (3)PRECAST CONCRETE TANKS,EACH 1,300 GALLON <br /> EXISTING TREATMENT SYSTEM <br /> APPLICANT SEPTIC NEW 200.00 <br /> STATE SURCHARGE SEPTIC 5.00 <br /> ELMER J. PETERSON COMPANY MISC FEE 0.00 <br /> 5921 DAGUE AVE SE <br /> DELANO,MN 55328 TOTAL 205.00 <br /> (763)972-2420 Payment(s) <br /> Minnesota State License#: BUIL-219 CHECK 18696 205.00 <br /> OWNER <br /> BUHMAN,DION&TANYA <br /> 1560 TANGLEWOOD RD <br /> LONG LAKE, MN 55356- <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 /> Applicant Permitee Signature Date Issued By gnature Date <br />