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, CITY OF ORONO * 2 0 1 5 - 0 0 1 2 6 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 02/OS/2015 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 960 FERNDALE RD W <br /> PIIY : 02-117-23-44-0017 <br /> LEGAL DESC : COUNTRY CLUB ESTATES <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> ,,; <br /> NOTE: <br /> L POUNDATIONS/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 BACKF[LLING. <br /> NOTE: A 24-48 HOUR NOTICE IS RGQUIRED FOR ALL INSPECTIONS. CALL(952)249-4600. <br /> SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUALIFIED CONTRACrOR BEFORE DEMO PERMI"I'IS ISSUED. CHI;CK <br /> 1'O MAKE SURE THIS PERMIT HAS BEEN PULLED E3EFORE ISSUING THIS PERMIT. <br /> APPLICANT DEMOLITION - PRINCIPAL STRUCTURE 75.00 <br /> STATE SURCHARGE DEMO 5.00 <br /> J S STEWART COMPANIES, INC. TOTAL 80.00 <br /> I 1099 LAMONT AVE NE Payment(s) <br /> HANOVER, MN 55341 CREDIT CARD 2885 80.00 <br /> �) <br /> OWNER <br /> BROOKS,JOHN&JOAN <br /> 960 FERNDALE RD W <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which[his 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 /> commcnced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspec[ions aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time f e cause. <br /> �/�� <br /> �� — ��� (� �'�� � �� � <br /> �/ � - / � c�?M � � <br /> Applicant Per ' ee. �gnature Date Issued� By S g ture Date <br />