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CITY OF ORONO * z 0 1 6 - 0 1 1 0 8 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 10/i U2016 <br /> ' ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 135 LUCE LINE RIDGE <br /> PIN : 31-118-23-34-0007 <br /> LEGAL DESC : PAINTERS CREEK <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT) <br /> ACTIVITY : SEPTIC(MOUND) <br /> NOTE: PRECAST CONCRETE TANIGS <br /> 2-EXISTING AND 1-NEW <br /> 1000, 1000 1500 SPLIT <br /> MOUND <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 /> OWI�TER <br /> JOHNSRUD,MICHAEL&SUZANNE <br /> 135 LUCE LINE RIDGE <br /> MAPLE PLAIN,MN 55359- <br /> AGREEMENT AND SWORI�i 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 Buiiding Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> pertnits. All provisions of laws and ordinances goveming 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 any ti or du cause. ��� <br /> / U '��� ��c�� ��-c��'f� � °i ��� l� <br /> Applicant Permitee ' ure Date Issued By Signature Date <br />