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CITY OF ORONO PERMIT NO.: 2010-00368 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: OS/2U2010 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1300 FRENCH CREEK DR <br /> PIN : 10-117-23-32-0015 <br /> LEGAL DESC : FRENCH CREEK <br /> : LOT 007 BLOCK 002 <br /> PERM[T TYPE : M[NOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING- RUBBER <br /> ACTNITY : O/S BU[LDING-UNDEFINED <br /> VALUATION : $ 6,084.87 <br /> NO"I�F,: RGROOF FLA"1'RUBI3ER ROOF AND DRYWALL RGPAIR <br /> APPLICANT pERMIT FEE SCHEDULE 147.50 <br /> GIERTSEN COMPANY STATE SURCHARGE(VALUATION) 3.04 <br /> 8385 IOTH AVE N <br /> GOLDEN VALLEY, MN 55427- TOTAL 150.54 <br /> (763)546-1300 <br /> Minnesota State License#: 1796 <br /> OWNER <br /> NANN, BERNARD&VICTORIA <br /> 1300 FRENCH CREEK DR <br /> WAYZATA, MN 55391 <br /> AGREEMEIYT AND SWORN STATEMENT <br /> rhe work for which this permi[is issued shall be performed according[o <br /> the approved plans and specitications,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 authorized is not <br /> commenced within I 80 days of t e of issuance,or if construction is <br /> suspended for a period of 180 ays at a �time atter work has commenced. <br /> The applicant is responsible for assuring II required inspections are <br /> requested n con orma e wi h th�State uilding Code.This permit may be <br /> revoked any t ie f ue ause ��// ���/ �/v <br /> /�_.�. <br /> LG� l l ��� V� � '�'� l l <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />