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, , <br /> CITY OF ORONO PERMIT NO.: 2oos-oo��3 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssUEn: 08/06/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 475 DEBORAH DR <br /> PIN : 31-118-23-23-0004 <br /> LEGAL DESC : MCCULLEY FARM <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> NOTE: INSTALLING(2)PRECAST CONCRETE TANKS-SIZE OF TANKS- 1250 <br /> APPLICANT <br /> SEPT[C NEW 100.00 <br /> ELMER J. PETERSON COMPANY STATE SURCHARGE SEPTIC 0.50 <br /> 5921 DAGUE AVE SE TOTAL 100.50 <br /> DELANO, MN 55328 <br /> OWNER <br /> WAIGHT, MR.&MRS. JAMES <br /> 475 DEBORAH DR <br /> MAPLE PLAIN, MN 55359 <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 sepa�ate <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 ail required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> r ked at any time for due cau e. <br /> ��� 8i � io�:, u-� �i U(�i �C� <br /> Applicant ermitee Signature Date ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />