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� � CITY OF ORONO * Z 0 1 4 - P1 1 1 3 7 * <br /> ` 2750 KELLEY PARKWAY DATE ISSUED: 10/21/2014 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2290 ABINGDON WAY <br /> PIN : 03-117-23-23-0010 <br /> LEGAL DESC : ABINGDON GLEN <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : SEPTIC � <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW <br /> ACTIVITY : MOUND SYSTEM-SEPTIC <br /> NOTE: (1) 1200 GALLON PUMP TANK <br /> (2) 1000 GALLON TANKS <br /> MOLJND ]0 X 63 <br /> APPLICANT SEPTIC NEW 200.00 <br /> STATE SURCHARGE SEPTIC 5.00 <br /> FLYGARE EXCAVATING TOTAL 205.00 <br /> 9850 91ST STREET NW Payment(s) <br /> ANNANDALE,MN 55302- CHECK 2091 205.00 <br /> (320)274-5437 <br /> Minnesota State License#: sept-PB651887 <br /> OWNER <br /> LINDA SHAW,JEFFREY BAKKEN/ <br /> 2290 ABINGDON WAY <br /> LONG LAKE,MN 55356- <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,applicabie 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 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 time for due cause. <br /> � �o =Z!-(� /D/ Z/ / /'S� <br /> pplicant ermitee Signature Date Issue y Signature Date � <br />