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' ' CITY OF ORONO � <br /> 2750 KELLEY PARKWAY * 2 0 1 7 - 0 0 0 8 1 * <br /> DATE ISSUED: 02/27/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 100 BAYSIDE TR <br /> PIN : 06-117-23-22-0026 <br /> LEGAL DESC : BAYVIEW FARMS 2ND ADDN <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT) <br /> ACTIVITY : SEPTIC(MOUND) <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> METRO GENERAL SERVICES, INC. TOTAL 400.00 <br /> 5790 UAM AVENLJE NE Payment(s) <br /> Q CREDIT CARD 7162 400.00 <br /> ST.MICHAEL,MN 55376 <br /> (612)369-1068 <br /> OWNER <br /> NORD,RANDAL <br /> 4420 HARBOR LA <br /> PLYMOUTH,MN 55441- <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 does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this rype 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 e for due se <br /> ' � �7 ��17 o a,�7�/-6 <br /> plicant Permitee Si Dat Issued Signature Date <br />