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, . CITY OF ORONO PERMIT NO.: 2008-00401 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 12/OU2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2680 SHADYWOOD RD <br /> PIN : 21-117-23-24-0046 <br /> LEGAL DESC : SHORE HILLS <br /> : LOT O15 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> ACTIVITY '�'' : �4�ALL OTHER BUILDING& STRUCTURES <br /> ��'�:. � � <br /> � ����f��' '� ��' �`� <br /> NOTE: � <br /> l. FOUNDATIONS/ALL DEMO DEBRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. <br /> 2. WELLS MUST BE ABANDONED. <br /> 3. INSPECTIONS DONE BEFORE BACKFILLING. <br /> APPLICANT DEMOLITION -PRINCIPAL STRUCTURE 50.00 <br /> KEVITT EXC. INC. STATE SURCHARGE DEMO 0.50 <br /> 3335 PENNSYLVANIA AVE NO TOTAL 50.50 <br /> CRYSTAL, MN 55427 <br /> (763)545-3557 <br /> OWNER <br /> SEWALL, BARRY <br /> 2680 SHADYWOOD RD <br /> EXCELSIOR, MN 55331- <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 thc <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 spccified herein.This permit will <br /> expire and bewme 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 /> rev at any time�for due cause. <br /> � 2��� � � � � �� g /2.i0/ i l� <br /> Applicant Permitee Signature Date Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />