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� . <br /> CITY OF ORONO PERMIT NO.: 2011-00498 � <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/24/20ll <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3380 GRAHAM HILL RD <br /> PIN : OS-117-23-11-0013 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 2 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTIVITY : MOUND SYSTEM - SEPTIC <br /> APPLICANT <br /> SEPTIC NEW 200.00 <br /> PATNODE BROS STATE SURCHARGE SEPTIC 5.00 <br /> 23200 109TH AVE <br /> ROGERS, MN 55374 MISC FEE 0.00 <br /> (763)428-7393 TOTAL 205.00 <br /> Minnesota State License#: 95 <br /> OWNER <br /> RUDOW, DAVID <br /> 3380 GRAHAM HILL RD <br /> ORONO, 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 Ihe <br /> State Building Code. This permit is for only[he 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 specitied herein.'�his 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 a[any time aRer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> reqaested in conformance with State,Building Code.This permit may be <br /> revoked at an e for due <br /> � ��� / / / / <br /> App i ant Permitee Signature Date Issued By Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />