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CITY of ORONO <br /> Building Permit PERM�T No. � 5g38 � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED I'- <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING D�STRICT s� <br /> SITE ADDRESS V <br /> PROPERTY IDENTIFICATION NO.(P1D) �t�—�I1 �" � c� I C�7'� I <br /> FIRE DEPARTMENT LOT BLOCK � SUBDIVISION <br /> POST OFFICE OWNER (Name) (Addr s) (Phone) <br /> � �. ; � � <br /> VAR. DATE ARCHITECT/ENGINEER- Must ertify Multi-Family,Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> WIDTH D T ��v`� r�' � � ` <br /> TYPE OF WORK New Addition Remod I Renovate <br /> PROPOSED SE C � <br /> FRONT R.S E <br /> CONST.TYPE BUILDING SIZE Es ' ated Construction Valuation <br /> REAR I � � �� <br /> L. W. H t. <br /> LAKE TL NDS <br /> OCCUPANCY PERMITFEES <br /> CLASSI FICATION dO <br /> ACCESS DWELL. STORIES B � 2 3 BLDG. PERMIT . <br /> UNITS STATE FEE � � s <br /> NE EXISTING GAR.STALLS NUMBER OF BEDROOMS <br /> AGEN - P OV. DATE q�. PLAN REVIEW <br /> CIT DET. SEPTIC <br /> APP. DATE SAC CHARGE <br /> COUN PROPOSED USE SEWER UNIT <br /> STATE PARK FEE <br /> � <br /> PENALTY ' <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER _ <br /> REMARKS: TOTAL DUE �� �� <br /> INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT <br /> SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> ❑ ..... . FOOTING before pour <br /> ❑ .... . . FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br /> ❑ .... . . INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> ❑ WALLBOARD before taping qNCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> ... . . <br /> FINAL before occupancy <br /> WELL.................... ❑ <br /> .... . . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RE- SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> SEWER............................. , <br /> QUIRED INSPECTION WIIL BE SUB- PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. WATER.............. ❑ <br /> GRADING&FILLING ............... ❑ <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ � <br /> Signature �__���� Date�� <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved f Orono <br /> Brooklyn Prtp.&Adv.Co.Inc. (612)661�470 <br />