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CITY OF ORONO * Z 0 1 6 - 0 0 4 0 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/29/2016 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <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 : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 15,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: PLUMBING,MECHANICAL,ELECTRICAL(STATE) <br /> INTERIOR REMODEL:UPDATING KITCHEN,MASTER BATH&LAUNDRY AREA <br /> APPLICANT PERMIT FEE SCHEDULE 278•77 <br /> PLAN REVIEW 181.20 <br /> DALTON, MICHAEL&JENNIFER STATE SURCHARGE(VALUATION) 7.50 <br /> 2195 FRENCH LAKE RD <br /> WAYZATA,MN 55391- TOTAL 467.47 <br /> Payment(s) <br /> CHECK 5005 467.47 <br /> OWNER <br /> DALTON,MICHAEL&JENNIFER <br /> 2195 FRENCH LAKE RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit 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 nuil 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 l80 days at any time afrer work has commenced. <br /> The applican[is responsible for assuring all required inspections are <br /> requested in conformance with the Sta ui ' g Code.This permit may be <br /> revoked at any ti i caus <br /> � y � 0 �-�� � ��� <br /> Applicant Permitee Signature Date Issued ignature Date <br />