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CITY OF ORONO PERMIT NO.: 2oos-oo�s4 <br /> 2750 KELLEY PARKWAY <br /> ' ORONO,MN 55356- DATE ISSUED: 10/09/2008 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 520 NORTH ARM DR <br /> PIN : 06-117-23-31-0005 <br /> LEGAL DESC : VICTORIA ESTATES <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : DEMOLITION <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DEMO-PRINCIPAL STRUCTURE <br /> NOTE: <br /> 1. 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 /> APPLICANT DEMOLITION-PRINCIPAL STRUCTURE 50.00 <br /> DOBOSZENSKI& SONS,INC. STATE SURCHARGE DEMO 0.50 <br /> 6450 PIONEER TRAIL <br /> LORETTO,MN 55357 TOTAL 50.50 <br /> (763)420-6945 <br /> OWNER <br /> PELLIZZER,TIMOTHY <br /> 520 NORTH ARM DR <br /> MOiJND,MN 55364 <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 dces <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 /> The applicant is responsible for assuring all required inspections aze <br /> request in conformance with the S g Code.This permit may be <br /> revoke any time for due cause. <br /> �� 9 i o� 1oi 9 i <br /> App ermite Signature Date Issued ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTH THAN DESC ED ABOVE. <br />