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- - CITY OF ORONO <br /> 2750 KELLEY PARKWAY * � 0 1 3 - 0 1 z 2 2 * <br /> DATE ISSUED: 1U18/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 180 KINTYRE LA <br /> PIN : 32-118-23-43-0018 <br /> LEGAL DESC : KINTYRE TWO <br /> : LOT 1 BLOCK 2 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : NEW � <br /> NOTE: (3)CONCRETE TANKS-(1)- 1300 GALLON AND (2)-1,000 GALLON <br /> MOUND TREATMENT SYSTEM-630 SQ.FT. <br /> APPLICANT SEPTIC NEW 200.00 <br /> HAYES& SONS EXC. INC. STATE SURCHARGE SEPTIC 5.00 <br /> 263 82ND STREET S.E. TOTAL 205.00 <br /> MONTROSE,MN 55303- <br /> (763)479-1762 PAID WITH CC# 5293 <br /> Minnesota State License#: L640 <br /> OWNER <br /> Gonyea Homes <br /> 6102 OLSON MEMORIAL HIGHWAY <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 does <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 construction is <br /> suspended for a period of 180 days at any time aftet 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 /> r <br /> / / / / <br /> Applicant Permitee Signature Date Issued y ' nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB <br />