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CITY OF ORONO * z 0 1 4 - 0 0 8 1 v� * <br /> �.. 27_50 KELLEY PARKWAY DATE [SSUED: 07/29/2014 <br /> , ORONO, MN _55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2245 FRENCH LAKE RD <br /> PIN : 10-117-23-22-0004 <br /> LEGAL DESC : JOHNSTONS FRENCH LAKE <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPF, : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING - UNDF,FINED <br /> VALUATION : � 5,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 118.00 <br /> STATE SURCHARGE(VALUATION) 2.50 <br /> SELA ROOFING& REMODELING, INC. TOTAL 120.50 <br /> 4100 EXCESIOR BLVD <br /> ST. LOUIS PARK, MN 55416- Payment(s) <br /> (952)915-7227 CHECK 34700 120.50 <br /> Minnesota State License#: BUIL-BC 1050 <br /> OWNER <br /> KLAMMER,JOHN& SARAH <br /> 2245 FRENCH LAKE RD <br /> WAY7.ATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he work for which this pennit is issued shall bc perfonned according to <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 separale <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specificd herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced�vithin 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any timc after work has commenced. <br /> The applicant is responsible for assuring all rcquired inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> rcvokcd at any tin �for du�_�tuSe. <br /> ,--- —� <br /> � � 2�1 u t "� ��' / / <br /> - �� '�-L-- <br /> Applica rm�tee Signature Date lssued By Sign u c � j�7 Date <br /> �f� <br />