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CITY OF ORONO * 2 0 1 6 - 0 0 4 2 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/07/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 3465 WATERTOWN RD <br /> PIN 32-118-23-43-0008 <br /> LEGAL DESC UNPLATTED 32 118 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: (3)PRECAST CONCRETE 1300 GALLON TANK <br /> MOUND 625 S.F. <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> TOTAL 400.00 <br /> HAYES&SONS EXC.INC. Payment(s) <br /> 263 82ND STREET S.E. CREDIT CARD 5293 400.00 <br /> MONTROSE,MN 55303- <br /> (763)479-1762 <br /> Minnesota State License#:sept-L640 <br /> OWNER <br /> AUL,JUSTIN&LYNSEY <br /> 5791 SUNNYBROOK LA <br /> MINNETRISTA,MN 55364- <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 1 <br /> revoked at any time for due cause. <br /> App 'cant Perm' ignature Date Issued By Signature Date <br />