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. R <br /> CITYOFORONO * 2014 - 0 � 027 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: Ol/14/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2250 FRENCH LAKE RD <br /> PIN : 10-117-23-22-0012 <br /> LEGAL DESC : JOHNSTONS FRENCH LAKE 2ND ADDN <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : ADDITION/ REMODEL/ REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 8,000.00 <br /> NO'I'I,: SEPnRATE PI?RMiTS REQUIRGD: PLUMBING. ELF,CTRICAL(S'T'ATE) <br /> REMODF•,L (,AiJNDRY ROOM <br /> APPLICANT PERMIT FEE SCHF,DULE 162.25 <br /> PLAN REViEW 105.46 <br /> CRYSTAL KITCHEN CENTER STATE SURCHARGE(VALUATION) 4.00 <br /> 668 N. HIGHWAY 169 <br /> GOLDEN VALLEY, MN 55427 TOTAL 271.71 <br /> (763)544-5950 Payment(s) <br /> Minnesota State License#: BUIL-7200 CREDIT CARD 8983 271.71 <br /> OWNER <br /> ERPELDING, MARK&GRE'I'CHEN <br /> 2250 FRENCH LAKE RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'I�he work for which diis permit is issued shall be performed according to <br /> the approved plans and specifications,applicablc 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 /> pennits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein."Chis permit will <br /> expire and become null and void if construction authorized is no[ <br /> commenced within 180 days of Ihe date of issuance,or if construction is <br /> suspended fbr a period of 180 days at any time after work has commenccd. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit m�y be <br /> revoked at any time Yor due cause. <br /> �/�Lt-C�C�� / � !�L / ,✓� �� <br /> Applicant Pcrmitee Signaturz— D� e Iss I3y Signaturc Date <br />