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E � <br /> CITY OF ORONO * 2 0 1 3 - 0 0 9 2 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/10/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1250 FRENCH CREEK DR <br /> PIN : 10-117-23-32-0013 <br /> LEGAL DESC : FRENCH CREEK <br /> : LOT 005 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 29,059.00 <br /> NOTE: REAPI,CE(2)WINDOWS AND(6)DOORS WITHIN EXISTING OPENINGS. <br /> APPLICANT PERMIT FEE SCHEDULE 466.75 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 14.53 <br /> 1920 COUNTY RD C. WEST <br /> ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 <br /> (6l2)502-4777 TOTAL 483.28 <br /> Minnesota State License#: BC130983 PAID WITH CC# 8788 <br /> OWNER <br /> DANIELSON, SCOTT& SHARI <br /> 1250 FRENCH CREEK DR <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work Yor 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 permit will <br /> expire and become null and void if construction au[horized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 days at any time afrer work has commenced. <br /> The applicant is responsible for assuring all required inspec[ions are <br /> requested in conformance wit the State Building Code.This permit may be <br /> revoked at any time far due cau . <br /> ' 9/ // l �� �!�y�%(-Gl�f"j- QIl �/ l/�.3 <br /> Applicant Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />