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" CITY OF ORONO * Z 0 1 6 - 0 0 7 6 5 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 06/30/2016 <br /> ORONO, MN 55356- � <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2195 FRENCH LAKE RD <br /> PIN : 10-117-23-21-0006 <br /> LEGAL DESC : JOHNSTONS FRENCH LAKE 2ND ADDN <br /> : LOT 001 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILD[NG-UNDEFINED <br /> VALUATION : $ 6,614.00 <br /> NOTE: REPLACE(3)WINDOWS WITHIN EXISTING OPENINGS. <br /> APPLICANT PERMIT FEE SCHEDULE 154.85 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 3.31 <br /> 1920 COUNTY RD C. WEST MAIL-IN FEE 2.00 <br /> ROSEVILLE,MN 55113 TOTAL 160.16 <br /> (612)502-4777 Payment(s) <br /> Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 160.16 <br /> OWNER <br /> DALTON, MICHAEL&JENNIFER <br /> 2195 FRENCH LAKE RD <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,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 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 l80 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 /> �, �, �� <br /> Applicant Permitee Signature Date Issued By ignature Date <br />