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� • CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 4 - 0 1 0 B 9 * <br /> DATE ISSUED: 10/09/2014 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 125 KINTYRE LA <br /> PIN : 32-118-23-43-0017 <br /> LEGAL DESC : KINTYRE TWO <br /> : LOT 3 BLOCK 1 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTIVITY : MOLJND SYSTEM-SEPTIC <br /> NOTE: NEW MOUND SYSTEM <br /> 3-1300 GALLON CONCRETE TANKS <br /> APPLICAIVT SEPTIC NEW 200.00 <br /> STATE SURCHARGE SEPTIC 5.00 <br /> HAYES&SONS EXC. INC. <br /> 263 82ND STREET S.E. TOTAL 205.00 <br /> MONTROSE,MN 55303- Payment(s) <br /> (763)479-1762 CREDIT CARD 205.00 <br /> Minnesota State License#: sept-L640 <br /> OWNER <br /> Gonyea Homes <br /> 6102 OLSON MEMORIAL HWY <br /> GOLDEN VALLEY,MN 55427- <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 dces <br /> not grant permission for additional or related work which requires sepazate <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 consVuction 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 pertnit may be <br /> rev at y ti for d c use. <br /> ���1'[ /� l �l l / � <br /> App icant P rmi e ignature Date Issu y Signature Date <br />