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CITY OF ORONO Iz I111 <br /> * 0 ISI00553 11* <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/27/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1125 PINE VIEW DR <br /> PIN : 28-118-23-42-0007 <br /> LEGAL DESC : PINE VIEW <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW OR REPLACEMENT(SEPTIC SYSTEM) <br /> ACTIVITY : MOUND SYSTEM-SEPTIC <br /> NOTE: NEW MOUND SYSTEM <br /> (3)PRECAST CONCRETE TANKS <br /> EACH TANK 1300 GALLONS <br /> MOUND SYSTEM-630 S.F. <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> STATE SURCHARGE SEPTIC 5.00 <br /> HAYES& SONS EXC. INC. TOTAL 405.00 <br /> 263 82ND STREET S.E. <br /> Payment(s) <br /> MONTROSE,MN 55303- CREDIT CARD 5293 405.00 <br /> (763)479-1762 <br /> Minnesota State License#: sept-L640 <br /> OWNER <br /> NYQUIST,MATTHEW&JENNIFER <br /> 6126 MAIN STREET W <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 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 wi h the State Building Code.This permit may be <br /> revoked at any0'r due ause. <br /> �..__ /i. 5--2.7-i 'I /, / S / )7//5 <br /> Applica t 'ermttee Si re Date ssuec, :y Signature Date <br />