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CITY OF ORONO PERMIT NO.: 2008-00275 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/28/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 405 WILLOW DR S <br /> PIN 04-117-23-14-0003 <br /> LEGAL DESC AUDITOR'S SUBD.NO.229 <br /> LOT 007 BLOCK 000 <br /> PERMIT TYPE SEPTIC <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE NEW <br /> NOTE: INSTALLING THE FOLLOWING: <br /> (2)PRECAST CONCRETE TANKS <br /> MOUND TREATMENT SYSTEM-500 S.F. <br /> FINAL COVER TRUCKED IN. <br /> APPLICANT SEPTIC NEW 100.00 <br /> OLSON CONSTRUCTION CO. STATE SURCHARGE SEPTIC 0.50 <br /> 6970 INWOOD ROAD <br /> MN 55322- TOTAL 100.50 <br /> (952)448-6674 <br /> Minnesota State License#:LI I I I <br /> OWNER <br /> PRIEDMAN,K&W <br /> 405 WILLOW DR S <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 /> revo duat any time for d6e cause. Q <br /> pplicant Permitee Signature Date Iss By Signature Date <br /> RATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />