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• CITY OF ORONO * 2 0 1 5 - 0 1 3 8 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U24/2015 <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 : W[NSHIPS SUBD SPR[NG PARK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIVSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATIOI�I : $ 284,858.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,WATER CONNECTION, SEWER CONNECTION,ELECTRICAL <br /> (STATE) <br /> NEW SINGLE FAMILY RESIDENCE <br /> NOTE: PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERM[T FEE SCHEDULE 2,275.42 <br /> STATE SURCHARGE(VALUATION) 142.43 <br /> SONDERGAARD FORCIER BUILDERS LLC <br /> P O BOX 208 TOTAL 2,417.85 <br /> VICTORIA, MN 55386- Payment(s) <br /> (612)849-4187 CHECK 8611 2,417.85 <br /> Minnesota State License#: BUIL-BC627292 <br /> OWNER <br /> STRUCK, JAN& SARAH <br /> 3862 NORTHERN AVE <br /> SPRING PARK, MN 55384- <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 E3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permi[s. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whe[her or no[specified hercin.This permit will <br /> expire and become null and void if construction au[horized 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 afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conform nce with the State Building Code.This permit may be <br /> revoked at ny tim r due cause. <br /> il�2Y-�' � �'--e� � /l �� -� <br /> pli Permitee Signatur Date Issued B 'gnature Date <br />