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CITY OF ORONO PERM[T NO.: 2008-00374 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: 1U17/2008 <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> �. <br /> ADDRE�S : 2640 FOX ST <br /> PIN : 04-117-23-42-0008 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1249 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO- PR[NCIPAL STRUCTURE <br /> ACTNITY : 645-S[NGLE FAMILY HOUSES(ATT& DET <br /> NOTE: <br /> 1. FOUNDATIONS/ALL DEMO DI,BRIS TO BE REMOVED FROM GROUND&DISPOSED OF OFF SITE, PER PCA REGULATIONS. <br /> 2. WELLS MUST BG ABANDONED. <br /> 3. INSPECTIONS DONE BEFORE BACKFILLING. <br /> APPLICANT DEMOLITION -PRINCIPAL STRUCTURE 50.00 <br /> WESTLING,TOM <br /> 2640 FOX ST STATE SURCHARGE DEMO 0.50 <br /> WAYZATA, MN 55391- TOTAL 50.50 <br /> (952)331-3924 <br /> OWNER <br /> WESTLING, TOM <br /> 2640 FOX ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The���ork tbr�vhich this permit is issued shall be performcd according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> Statc 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 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 /> The applicant is responsible for assuring all required inspections are <br /> requeste�in conformance wit�i_�e State Building Code.This permit may be <br /> rcvokc'd,�t a y t me fo� cau . n <br /> � '� � � �7 d � , ,+ Ce v� / �- i I _ C�� <br /> App ica�t Permitee S' ture �Date � � �� � � � � � <br /> Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />