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1A a-);i 8/. <br /> CITY OF ORONO PERMIT NO.: 2008-00020 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 07/3U2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 3940 WATERTOWN RD <br /> PIN 32-118-23-32-0001 <br /> LEGAL DESC UNPLATTED 32 118 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE SEPTIC <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE NEW <br /> APPLICANT SEPTIC NEW 100.00 <br /> HAYES&SONS EXC. INC. STATE SURCHARGE SEPTIC 0.50 <br /> 263 82ND STREET S.E. TOTAL 100.50 <br /> MONTROSE,MN 55303 <br /> Minnesota State License#: 640 <br /> OWNER <br /> HEDBERG,CHRISTOPHER&HEIDI <br /> 3105 ZIRCOM LANE N <br /> PLYMOUTH,MN 55447 <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 Ift ti 1;7�� <br /> , 13( <br /> Applicant PerniftoeSignature Date <br /> 4Is By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />