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. ` CITY OF ORONO * 2 B 1 3 - P1 0 2 3 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/11/2013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 475 OXFORD RD <br /> pIN : OS-117-23-41-0010 <br /> LEGAL DESC : STIELOWS ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> ACTIVITY : 645-SINGLE FAMILY HOUSES(ATT&DET <br /> NOTE: <br /> l. 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. <br /> CHECK TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT. <br /> APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 <br /> THOMAS BREN HOMES STATE SURCHARGE DEMO 5.00 <br /> 2073 WAYZATA BLVD.W.#50 <br /> WAYZATA,MN 55391 TOTAL 80.00 <br /> (952)475-6777 <br /> Minnesota State License#:BC128144 <br /> OWNER <br /> CKO VACATION PROPERTIES <br /> 2832 HAMEL RD <br /> MEDINA,MN 55340- <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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 /> T'he applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at an ime for e caus <br /> . � � �3 � <br /> A licant Permite gnature Date Issued y Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED ABOVE. <br />