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� L CITY OF ORONO PERMIT NO.: 20�0-o�oos <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEn: 10/18/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADURESS : 1985 FAGERNESS POIN"I' RD <br /> PIN : 18-117-23-14-0004 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 003 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : DEMO- PRINCIPAL STRUCTURE <br /> ACTNITY : 645-SINGLE FAMILY HOUSES (ATT& DET <br /> NOTG: <br /> 1. POUNDATIONS/A1,L DGMO DEBRIS TO BG REMOVED FROM GI20UND& DISPOSLD OP OI'F SI"I'E,PER PCA REGULATIONS. <br /> 2. WELLS MUS"I'13E nBANDONGD. <br /> 3. INSYGCTIONS DONG BLPORE BACKFILLING. <br /> APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 75.00 <br /> MICHAEL GALLUS CONSTRUCTION INC. STATE SURCHARGE DEMO 5.00 <br /> 6306 EHLER AVE. <br /> DELANO, MN 55328 DEMOLITION - ACCESSORY STRUCTURE 50.00 <br /> (612)709-9796 TOTAL 130.00 <br /> Minnesota State License#: 20061956 <br /> OWNER <br /> BRIGGS, MATTHEW& ALISSA <br /> 1985 FAGERNESS PT RD <br /> WAYZATA, MN 55391- <br /> ACREEMENT AND SWORN STATEMENT <br /> I�he��°ork for which this permit is issued shall be performed•according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not arant 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 compicd��ith whether or not specilied hercin.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced ti�ithin I 80 days of thc datc of issuance,or if construction is <br /> suspended for a period of 180 days at any time aiter work has commenced. <br /> "Che applicant is responsible for assuring all required inspections are <br /> requested in onformance with the S te 13uilding Code.This permit may be <br /> revokcd at� �time tor e ca se. <br /> /� i /� i Z��v �Di / �i I O <br /> Ap ica t Permitc�Signature Date Issued Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />