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CITY OF ORONO * z 0 1 5 - 0 1 3 8 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/27/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3287 CASCO CIR <br /> PIN : 20-117-23-43-0044 <br /> LEGAL DESC : WINSHIPS SUBD SPRING PARK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 284,858.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$284,858.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:20 1 5-0 1 3 82 <br /> J <br /> APPLICANT ADVANCED PLAN REVIEW 1,478.81 <br /> TOTAL 1,478.81 <br /> SONDERGAARD FORCIER BUILDERS LLC Payment(s) <br /> P O BOX 208 CHECK 8603 1,478.81 <br /> VICTORIA,MN 55386- <br /> (612)849-4187 i:ity o� u��;i���� <br /> Minnesota State License#: BUIL-BC627292 �j�u k�:;lt�y ����kway <br /> ur on!, MN 5',���li 4F;�-2dq-d6f)il <br /> OWNER ket:eipt N�: 3.014545 Uct 27, 2U15 <br /> STRUCK,JAN&SARAH <br /> 3862 NORTHERN AVE �or,de;�gaarri t�orcit-:r Bui ld�i� <br /> SPRING PARK,MN 55384- <br /> Previous Balance: .Oi; <br /> Pe�mi ts <br /> 2015-01381 3�'B7 Casco 1,4 l�.�1 <br /> AGREEMENT AND SWORN STATEMENT Circle <br /> The work for which this permit is issued shall be performed according to 101-34410 <br /> the approved plans and specifications,applicable City approvals,and the P18n Check/�1 te ExBm FE�es <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 Total: 1,a��.rS 1 <br /> permits. All provisions of laws and ordinances goveming 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 Check <br /> commenced within 180 days of the date of issuance,or if construction is Check No: 860.3 1.41F3.8 I <br /> suspended for a period of 180 days at any time after work has commenced. Payor: <br /> The applicant is responsible for assuring all required inspections aze Soft�er g88Yd FoY'Glel' BU11deY.5 <br /> requested in conformance with the State Building Code.This permit may be Tc)ta1 App 1 i Gd: 1,478.�1 <br /> revoked at any time for due cause. <br /> Ghanye Tendered: .��� <br /> ___:�_.a== ___=:: � <br /> Applicant Permitee Signature Date Issuec 1Oj27J?_015 03:�5PM <br />