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� r <br /> CITYOFORONO * 2a 14 - 00859 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/16/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3309 CRYSTAL BAY RD <br /> PIN : 17-117-23-41-0016 <br /> LEGAL DF,SC : WALLACES ADDN TO V]L OF MTKA B <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO- PRINCIPAL STRUCTURE <br /> � i. c-�� � � i���� �.t � c ti:vt t,t� <br /> �°— <br /> N OTE: <br /> l. FOUNDA"I'IONS/ALL DEMO DEBRIS TO BE REMOVF,D FROM GROUND&DISPOSED OF OFF SITE,PER PCA REGULATIONS. <br /> 2. WELLS MUST BF,ABANDONED. <br /> 3. INSPF.CTIONS DONE BEPORE BACKFILLING. <br /> NOTG: A 24-48 HOUR NOT]CF IS RFQUIRF.D FOR ALL [NSPECTIONS. CALL(952)249-4600. <br /> SF,WE:R MUS"1'E3E DISCONTINUGD AT'THE CITY SERV[CF?BY QUALIFIED CONTRACTOR REFORE DI',MO PERMIT IS [SSUED. CHECK <br /> r0 MAKE SURE THIS PERMIT HAS I3F,F,N PULLF.D BEEORE ISSUWG THIS PERMI"C. <br /> DF.MO PR[NCIPAL STRUCTURL'AND ONE ACCI',SSORY STRUCTURE <br /> APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 75.00 <br /> STATE SURCHARGE DEMO 5.00 <br /> BETZ BUILDEKS INC. DEMOLITION -ACCESSORY STRUCTURE 50.00 <br /> 300 CRESTVIEW AVE. <br /> LONG LAKE, MN 55356 TOTAL 130.00 <br /> (612)221-2963 Payment(s) <br /> Minnesota State License#: BUIL-BC3515 CI�iECK 19335 130.00 <br /> OWNER <br /> SCHMID, DAVID <br /> 3309 CRYSTAL BAY RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT ANll SWORN STATEMENT <br /> fhc work lor�vhich this permit is issued shall be perfornied according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State E3uilding Code. 'I'his permit is for only the work described and docs <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 specitied herein.'I�his permit will <br /> espire and become null and void if construction authorized is not <br /> commenced within 180 days ofthe date of issuance,or it�construction is <br /> suspended for a period of L80 da��s at any time afrer work has commenced. <br /> The applicant is responsible Yor assuring all required inspections are <br /> requested in conformance with the State[3uilding Code.This permit may be <br /> revoked at a y time for due cause. <br /> / --/�-�� 9� ,i� , / <br /> Applicant Permitee Signature Date [ssu I3y Signature Date <br />