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�� ' �. ' � CITY OF ORONO * 2 0 1 4 - PJ 1 0 8 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/07/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3535 CHRISTINE DR <br /> PIN : OS-117-23-12-0019 � <br /> LEGAL DESC : BETZ ADDN <br /> : LOT 002 BLOCK OOl <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTIVITY : MOUND SYSTEM - SEPTIC <br /> APPLICANT SEPTIC NEW 200.00 <br /> STATE SURCHARGE SEPTIC 5.00 <br /> HAYES& SONS EXC. INC. TOTAL 205.00 <br /> 263 82ND STREET S.E. Payment(s) <br /> MONTROSE, MN 55303- <br /> (763)479-1762 CREDIT CARD 5293 205.00 <br /> Minnesota 5tate License#: sept-L640 <br /> OWNF,R <br /> NELSON, ERIC&NICOLE <br /> 3535 CHRISTINE DR <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc 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. 'I�his 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 specitied herein."Chis permit will <br /> espire and become null and void if construction authorized is not <br /> commenced within 180 days of thc date of issuance,or if construction is <br /> suspended for a period of l80 days at any time after work has commeneed. <br /> l he applicant is responsible for assuring all required inspections are <br /> requested in conforniance with the State E3uilding Code.This pemiit may be � <br /> revoked at any time tor due cause. � <br /> J <br /> � 4 ���� � '� �� � � .���--- ��/ �/ � <br /> Appli • t Perni ature Date � Issu By Signa e Date <br />