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� ' CITY OF ORONO * 2 0 1 z - 0 0 5 0 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/18/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2215 BAYVIEW PL <br /> PIN : 17-117-23-44-0026 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 000 BLOCK 000 <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 INSPECT[ONS. CALL(952)249-4600. <br /> SEWER MUST BE DISCONTINUED AT THE CITY SERVICE BY QUAL[FIED CONTRACI'OR BEFORE DEMO PERMIT IS ISSUED. <br /> CHECK TO MAKE SURE TH[S VERMIT HAS BEEN PULLED BEFORE ISSUING THIS PERMIT. <br /> APPLICANT DEMOLITION -PRINCIPAL STRUCTURE 75.00 <br /> AUTUMN RIDGE HOMES INC <br /> P O BOX 375 STATE SURCHARGE DEMO 5.00 <br /> DELANO, MN 55328- TOTAL 80.00 <br /> (763)269-2697 <br /> Minnesota State License#: 20637701 <br /> OWNER <br /> DUNN,TIMOTHY <br /> 3010 BROOKS LANE <br /> WAYZATA, MN 55391- <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,applicablc 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 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 /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> i�jl.c/"(/ �_, �v l ��l �2.. l � �'l Y <br /> App icant Permitee Sig ure Date Is u d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />