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CITY OF' ORONO 11111111111111111111111111111111111 <br /> * <br /> 2750 KELLEY PARKWAY * 20 1 7 - 0 1 0 3 <br /> DATE ISSUED: 10/05/22 017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1284 WILDHURST TR <br /> PIN : 07-117-23-31-0026 <br /> LEGAL DESC : WILDHURST TRAIL <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 800,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL, FIREPLACE,SEWER CONNECTION, WELL(STATE), <br /> ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 5,204.92 <br /> STATE SURCHARGE(VALUATION) 400.00 <br /> HIGHMARK BUILDERS INC S.A.C. 2,485.00 <br /> 8720 EAGLE CREEK PKWY <br /> SAVAGE,MN 55378- TOTAL 8,089.92 <br /> (952)292-0473 Payment(s) <br /> Minnesota State License#:BUIL-BC393854 CREDIT CARD 2085 8,089.92 <br /> OWNER <br /> HANSON,KELLY <br /> 14410 GRENIER ROAD <br /> MINNETONKA,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 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 inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at an 'me for due cause. <br /> Z� V?-- 4 ,,A.) el-I-Ss& to 1 5 / / 7 <br /> A <br /> ltcant 'ermitee Signature ate Issued B ignature Date <br /> N <br />