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CATY of ORONO <br />i U� <br />NSE APPLIYSTM�CA'11 <br />CrYnI^I IInY. Minnenn,n s!A21 . <br />Ir JUN 2 519M <br />BUILDING A ZONING - 473.7351 <br />ASSESSING <br />All questions must be answered. License fee, <br />of insurance, and evidence of MPCA Certification or Home Sewage <br />Treatment Workshop attendence must accompany this application. <br />All applications are subject to a ten (10) day approval period. <br />1. Business or trade name S.P. NOREX, INC. <br />2. Business address P.O. Box 476, Chanhassen, MN 55317 <br />3. Business phone (612) 934-8552 Residence phone 934-8552 <br />4. Name of applicant or company representative holding MPCA <br />certification Patrick J. Minger <br />5. Type of certification held: X Installer _ Pumper <br />Site evaluator X System designer <br />Is this a Provisione—Certificate? X Certificate No. 00184 <br />6. If no Certificate is held, provide evidence of attendance at <br />one of the On -Site Sewage Treatment Workshops held immediate <br />prior to the current construction season. <br />7. Have you ever held a Septic System Installer licens <br />Orono before? yyI_ Most recent year <br />8. Have you ever had a license revoked? no When? <br />Where? _ <br />0, Do you do Municipal Sewer hook-ups? Yeses_ No <br />SUBMITTALS REQUIRED: <br />1. $25.00 license application fee. <br />2. $2000.00 license and permit bond naming City of Orono as <br />J/ obligee. The State Plumbers Bond will not be accepted. <br />$10-50-100,000 minimum Certificate of Insurance. <br />4. Copy of current MPCA Certificate or evidence of attendance <br />at On -Site Sewage Treatment Workshop held immediately <br />prior to current construction season. <br />LICENSES WILL NOT BE PROCESSED UNTIL ALL ITEMS ARE SUBMITTED. <br />'ist persons other than applicant who are authorized by you to <br />apply for permits under your license John Fisher <br />The undersigned hereby makes application to the City of <br />Orono, Minnesota, for license to install and repair septic <br />systems, and/or pump out septic tanks, subject to the laws <br />of the State of Minnesota and the Ordinances of the City of <br />Orono. <br />Date 6/20/86 Applicants Signature f 7�,ali.MJ�i <br />Staff recommendation Approval X, Denial _ Date <br />CITY Reason for denial: <br />USE City Council Action Date Approve _ De. <br />ONLY Date license mailed <br />