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1 <br /> CITY OF ORONO <br /> a ti * 20 1 6 - 0 1 4 1 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/01/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 585 ORCHARD PARK RD <br /> PIN : 31-118-23-14-0001 <br /> LEGAL DESC : UNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT) <br /> ACTIVITY : SEPTIC(MOUND) <br /> NOTE: MOUND SYSTEM <br /> PRECAST CONCRETE 4 TANKS <br /> 3-1000 AND 1-1500 LIFT <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> TRT EXCAVATING&SEPTICS TOTAL 400.00 <br /> Payment(s)3456 228TH AVE NW <br /> CREDIT CARD 0685 400.00 <br /> SAINT FRANCIS,MN 55070- <br /> (612)356-7900 <br /> OWNER <br /> MALLAK,MICHAEL&SARAH <br /> 585 ORCHARD PARK 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 /> , /7 <br /> Ap licant Permitee Signature Date Issued :y ,ture Date <br />