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CITY OF ORONO * 2 0 1 5 - 0 1 0 8 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/28/2015 <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 /> PERM[T TYPE : ADD[TION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENT[AL <br /> VALUATION : $ 45,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) � �-��'�j��' C'=��vT J <br /> NOTE: HAVE THE STATE ELECTR[CAL F[NAL COMPLETED BEFORE CALLING FOR A FINAL INSPECTION: [N[TIAL. � <br /> APPL[CANT PERM[T FEE SCHEDULE 659.45 <br /> STATE SURCHARGE(VALUAT[ON) 22.50 <br /> TOM POTTER CONSTRUCTION INC. TOTAL 681.95 <br /> 6531 DEVONSHIRE DR. <br /> CHANHASSEN, MN 55317 Payment(s) <br /> CREDIT CARD 2887 681.95 <br /> �) <br /> Minnesota State License#: BUIL-BC130144 <br /> OWNER <br /> MORRISON,CHUCK <br /> 1250 FRENCH CREEK DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMEIYT <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 perniission 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 l80 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. 1 <br /> The applicant is responsible for assuring all required inspections are ) <br /> requested in conformance with the State Buiiding Code.This permit may be :��� <br /> revoked at y time for due caus . � <br /> � q � � � <br /> , I <br /> 1i'/Z��.v..�F. � � 2��� �U�J C�' / ��� � �> l� ;�� ��.�� f <br /> Applicant Permitee Signature Date [ssued By Signa� Date <br />