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t <br /> � CITY OF ORONO * Z 0 1 7 — 0 0 3 4 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/OU2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 725 LAKEV[EW PKWY <br /> PIIV : 06-117-23-34-0008 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 20 BLOCK 1 <br /> PERMIT TYPE : SEPTIC <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT) <br /> ACTIV[TY : SEPTIC(MOLTND) <br /> NOTE: 3 PRECAST CONCRETE TANKS <br /> 2250 COMBO- 1300 LIFT <br /> APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 <br /> HAYES&SONS EXC. INC. TOTAL 400.00 <br /> 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 /> OWNER <br /> RUSIN, GRANT&AMANDA <br /> 15508 60TH AVE N <br /> PLYMOUTH, MN 55446- <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 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 I AO days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer 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 /> at an ' e or d e cause. <br /> a <br /> �-� -/ �� �o, � ,/ <br /> Ap nt Permitee Sig ature Date Issued ign e Date <br />