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, <br /> ` CITY OF ORONO * Z 0 1 3 - 0 Pl 4 5 3 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 06/25/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> REPRINTI:D ON 6/25/2013 <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 BUILDING -UNDEFINED <br /> VALUATION : $ 44,431.00 <br /> NOTE: REPLACt�.(26)WINDOWS AND(2)DOORS W[THIN EXISTING OPENINGS AND REPLi10E(3)HEADERS <br /> APPLICANT PERMIT FEE SCHEDULE 628.00 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 22.22 <br /> 1920 COUNTY RD C. WEST <br /> ROSEVILLE, MN 551 13 MAIL-IN FEE 2.00 <br /> (612)502-4777 TOTAL 652.22 <br /> Minnesota State License#: BC130983 PAID WITH CC# 8788 <br /> OWNER <br /> DALTON, MICHAEL&JENNIFER <br /> 2195 FRENCH LAKE RD <br /> WAYZATA, MN 55391- <br /> ACREEMENT AND SWORN STATEMENT <br /> The work for which this permi[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 authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspec[ions are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time Yor due cause. <br /> / / / �� <br /> Applicant Permitee Signature Date Issued y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />