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�ITY OF ORO�NO * 2 0 1 4 - PJ 1 4 1 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU14/2015 <br /> ' ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 930 PARTENWOOD RD <br /> PIN : 08-117-23-21-0007 <br /> LEGAL DESC : PARTENWOOD <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> llk. It ! � r:�l. <br /> ACTNITY L '-I E�,6�4tT-ALL._�1��-I-E�BUIL�ING & STRUCTURES <br /> NOTE: <br /> l. FOUNDATIONS/ALL DEMO DEBR[S 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 PERM[T IS ISSUED. CHECK <br /> TO MAKE SURE THIS PERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT. <br /> APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 75.00 <br /> STATE SURCHARGE DEMO 5.00 <br /> THOMPSON CONSTRUCT[ON LLC TOTAL 80.00 <br /> 505 COUNTY ROAD 19 <br /> MOiIND, MN 55364- Payment(s) <br /> (952)393-5349 CREDIT CARD 2641 80.00 <br /> Minnesota State License#: BUIL-BC686985 <br /> OWNER <br /> MOORE, KIRK&PAM <br /> 27475 MAPLE RIDGE LANE <br /> SHOREWOOD, MN 55331- <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 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 perrrtit 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 /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> /� � <br /> ' f(Z.� <br /> ✓ � �� � r j�y ��� �--�--�� c�-ti�«����1 l � 1�I � l� <br /> Applicant Permitee Sign ure te Issued By Signature Date <br />