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� <br /> , <br /> � � , CITY OF ORONO * Z 0 1 7 - 0 0 2 9 9 * <br /> r 2750 KELLEY PARKWAY DATE ISSUED: 04/25/2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4705 AUGUSTA ST <br /> PIN : 06-117-23-32-0006 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 3 BLOCK 1 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT) <br /> ACTIVITY : SEPTIC(MOLTND) <br /> NOTE: PRECAST CONCRETE MOUND SYSTEM <br /> 2250 SPLIT <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 /> OW1�1ER <br /> Norton Homes LLC <br /> 4705 AUGUSTA ST <br /> MOUND,MN 55364- <br /> AGREEMENT AIVD 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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. 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 time for due cause <br /> -Z -( -e � �� � <br /> Applicant Permitee i ature Date Issue By ' nature Date <br />