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+ , <br /> CITY OF ORONO * 2 pJ 1 7 — 0 1 5 4 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/13/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1720 SHADYWOOD RD <br /> PIN : 17-117-23-21-0019 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 920,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANIC FIREPLACE,WATER CONNECTION,SEWER CONNECTION, <br /> ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> NOTE: SEPARATE INSPECTION REQUIRED FOR WATER GATE VALVE ALTERATION. <br /> SCHEDULE WITH SCOTT IN PUBLIC WORKS 952-215-8154. INITIAL: �� <br /> APPLICANT PERMIT FEE SCHEDULE 5,834.92 <br /> STATE SURCHARGE(VALUATION) 460.00 <br /> L.CRAMER CO. TOTAL 6,294.92 <br /> 5500 LINCOLN DRIVE#180 <br /> EDINA,MN 55436- Payment(s) <br /> (952)935-8482 CHECK 029543 6,294.92 <br /> Minnesota State License#:BUIL-0002064 <br /> OWNER <br /> HANSBERGER,TRAVIS <br /> 651 LEXIE CT <br /> EAGAN,MN 55123- <br /> AGREEMENT AND SWOR1�1 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 acid does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whett►er or not specified herein.This pertnit will <br /> expire and become null and void if construction suthorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I80 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 /> r oked at e for due cause. <br /> ' ?j I / � � � �/ <br /> App' e ' ign ture Dat Iss e B gnature Date <br />