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� CITY OF ORONO PERMIT NO.: 2011-01227 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEn: 10/1 U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2]95 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 BUILDING-UNDEFINED <br /> VALUATION : $ 2,100.00 <br /> NOTE: RF.,PLACE(2)SKYLIGH"1'S <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> SELA ROOFING &REMODELING, INC. STATE SURCHARGE(VALUATION) 1.05 <br /> 4100 EXCESIOR BLVD <br /> ST. LOUIS PARK, MN 55416- TOTAL 89.55 <br /> (952)915-7227 <br /> Minnesota State License#: 0001050 <br /> OWNER <br /> GOTTSCHALK, ANDREW&ERIN <br /> 2195 FRENCH LAKE RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The Hork for which this pe�mit is issucd 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�equires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or no[specified herein.This permit will <br /> expire and become null and void if construction authorized is no[ <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended tor 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."Chis permit may be <br /> revoked at any time for due cause. <br /> � i�/zv lO � f I / i i ���-L�I�L� �C�/ � � / � <br /> Applicant Permitee- 'gnature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />