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- . CITY OF ORONO * Z 0 1 3 - 0 0 9 4 1 * <br /> . <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2013 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3048 NORTH SHORE DR <br /> PIN : 09-117-23-32-0004 <br /> LEGAL DESC : CRYSTAL BAY PARK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> COKSTRUCTION TYPE : DEMO- PRINCIPAL STRUCTURE <br /> ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT& DET <br /> NOTE: <br /> l. FOUNDATIONS/ALL DEMO DE[3RIS TO E3E REMOVED FROM GROUND&DISPOSED OF OFF SITG,PER PCA RGGULATIONS. <br /> 2. WELLS MUST BE ABANDONED. <br /> 3. INSPECTIONS DONE BEFORE BACKFILL[NG. <br /> NOTE: A 24-48 HOUR NOTICE[S REQUIRED FOR ALL WSPECTIONS. CALL(952)249-4600. <br /> SEWER MUST BE DISCONTINUGD AT THE CITY SERVICE BY QUALIFIED CONTRACTOR BEFOKE DL'MO PERMIT IS ISSUED. <br /> CHECK TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORG ISSUING THIS PERMIT. <br /> APPLICANT DEMOLITION - PRINC[PAL STRUCTURE 75.00 <br /> D.S.M. EXCAVATING STATE SURCHARGE DEMO 5.00 <br /> 2916 ENTERPRISE AVE <br /> HASTINGS, MN 55033- TOTAL 80.00 <br /> (651)480-1355 PAID W1TH CC# 0444 <br /> OWNER <br /> KALLAS, KATHRYN D <br /> 11653 CEDAR PASS <br /> HOPKINS, MN 55343- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according[o <br /> the approved plans and specifica[ions,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 specitied 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 Yor a period of I 80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conf ce with th Stat u ding Code.This permit may be <br /> revoked at ny e r due „ e. , � <br /> Q ` <br /> � � <br /> � " %�' i � %�` � � � � -�'___ �'��,v( �'I i /7 i l� <br /> Applicrant Nermitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />