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111111111111111111111111 11111M <br /> CITY OF ORONO * 2 0 1 4 - 0 0 9 7 4 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/03/2014 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 3465 WATERTOWN RD <br /> PIN : 32-118-23-43-0008 <br /> LEGAL DESC UNPLATTED 32 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE DEMOLITION <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE DEMO-PRINCIPAL STRUCTURE <br /> ACTIVITY 645-SINGLE FAMILY HOUSES(ATT&DET <br /> NOTE: DEMO PRINCIPAL STRUCTURE AND I ACCESSORY STRUCTURE <br /> NOTE: <br /> 1. 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 /> NOTE: A 24-48 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600. <br /> SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFORE DEMO PERMIT IS ISSUED. CHECK <br /> TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT. <br /> APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 <br /> STATE SURCHARGE DEMO 5.00 <br /> GORDON JAMES CONSTRUCTION DEMOLITION-ACCESSORY STRUCTURE 50.00 <br /> 5159 MAIN STREET E <br /> P.O.BOX 306 TOTAL 130.00 <br /> MAPLE PLAIN,MN 55359- Payment(s) <br /> (763)479-3117 CHECK 1096 130.00 <br /> Minnesota State License#: BUIL-20531961 <br /> OWNER <br /> NELSON,JEFFREY&BARB <br /> 3465 WATERTOWN RD <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,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 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 tAstate Building Code.This permit may be <br /> rev ed at y time fo ue a e. <br /> APRUQt ermitee Signature Date *IssBy Signature Date <br />