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, . CITY OF ORONO * 2 0 1 6 - 0 1 4 1 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: iU09/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 770 LAKEVIEW PKWY <br /> PIN : 06-117-23-34-0011 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 8 BLOCK 3 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT) <br /> ACTIVITY : SEPTIC(MOUND) <br /> NOTE: MOUND SYSTEM <br /> PRECAST CONCRETE TANKS <br /> 2250 COMBO OR EQUIVALENT <br /> 1300 LIFT <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> TOTAL 400.00 <br /> HAYES&SONS EXC.INC. Payment(s) <br /> 263 82ND STREET S.E. CREDIT CARD 5293 400.00 <br /> MONTROSE,MN 55303- <br /> (763)479-1762 <br /> Minnesota State License#:sept-L640 <br /> OWNER <br /> Of:Norton Homes <br /> MAJKRZAK,JEFF <br /> 6985 OAK RIDGE RD <br /> CORCORAN,MN 55340- <br /> AGREEMENT AND SWORI�i STATEMENT <br /> The work for which this pertnit is issued shall be perfortned 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 sepazate <br /> permits. Al►provisions of la�vs 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 a8er 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 /> revo ue cause. <br /> � � - � - 1 L° /�-U �.���,� `/ � � ��.t� <br /> Appli t Perm ignature Date Issued By ignature Date <br />