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CITY of ORONO _ _ _ <br /> Building Permit PERMIT NO. 6160 � <br /> y , <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED � <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT ��j" � � � . <br /> SITE ADDRESS <br /> PROPERTY IDENTIFICATION NO.(PID) '� �� —a <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name) (Address) (Phone) <br /> �'�,��,.-� � �eL�--> �7/' ��/��' <br /> VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family.Commercial& Industrial Construction Pians <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> WIDTH TH �' � <br /> TYPE O ORK New Addition Remodel Renovate <br /> . �. <br /> PROPO S TBACKS: n , �� <br /> FRONT . SIDE (�/��� <br /> CONST.TYPE BUILDING SIZE Estimat d onstruction Valuation <br /> REAR L. SIDE <br /> ] � Q f� <br /> LAKE WET �� W� Ht. � � <br /> OCCUPANCY PERMIT FEES <br /> , CLASSIFICATION �� /�� <br /> ACC SS DWELL. STORIES B 1 2 3 BLDG. PERMIT V <J <br /> UNITS � � <br /> STATE FEE <br /> NE XISTING GAR.STALLS NUMBER OF BEDROOMS <br /> AGEN Y-A PROV. DATE ATT. PLAN REVIEW <br /> CITY DET. SEPTIC <br /> APP. DATE SAC CHARGE <br /> COUNTY PROPOSED USE SEWER UNIT <br /> STATE PARK FEE <br /> PENALTY <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER <br /> TOTAL DUE � <br /> REMARKS: � S � � <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 /> WELL........ ❑ <br /> . . . . . . <br /> FINAL before occupancy <br /> ❑ . . . . . . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RE- SEWER.............................. � SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> QUIRED INSPECTION WILL BE SUB- PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. WATER.............................. ❑ <br /> OF MINNESOTA BUILD N �CODE REQUIREMENTS. <br /> GRADING 8 FILLING ............... ❑ - <br /> INSPECTIONS MUST BE CALLED-IN " , <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ <br /> Signat � Date �� <br /> COPY:WHITE-FILE GREEN-FINANCE \ <br /> CANARY-INSPECTOR GOLD-RECEIPT J j <br /> PINK-ASSESSOR Approved it of Orono <br /> Brooklyn Png.&Adv.Co.Inc. (672)561-0470 <br />