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CITY of ORONO <br /> Building Permit PERM�T No. - 599 <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED <� � <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT SiTE ADDRESS �V � S c,� �C �O`O'oY ��( • <br /> PROPERTY IDENTIFICATION NO.(PID) 7 — �7 � Z3 Z.� <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OW R (Name) (Address) (Phone) <br /> r�� /I') . /��'c,E-/-e �7/-q�7�' <br /> VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Fa y,Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> WIDTH TH <br /> TYPE OF WORK New Addition Rem del enov <br /> PROPOSED B CKS: _ �J^�_ � �/� <br /> FRONT IDE <br /> CONST.TYPE BUILDIN S E Esti ated Construction Valuation <br /> REAR L. S DE <br /> L. W. Ht. / 3�,�� <br /> LAKE LANDS <br /> OCCUPANCY PERMIT FEES <br /> CLASSI FICATION ����.� <br /> AC S DWELL. STORIES B 1 2 3 BLDG. PERMIT <br /> UNITS STATE FEE �� /� <br /> NEW EXISTING GAR.STALLS NUMBER OF BEDROOMS <br /> AGE Y-A PROV. DATE q�. 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 l/�.�� <br /> REMARKS: T <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> INSPECTION REQUIRED SEPARATE PERMITS <br /> ❑ .. ... . FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> ❑ . . ... . FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br /> ❑ . . . . .. INSULATION � <br /> MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> .. . . .. <br /> WALLBOARO before taping ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <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 WILL BE SUB- PLIANCE WITH ALL C TY OF ORONO ORD ANCES AND STATE <br /> JECT TO PENALTY. WATER.............................. ❑ <br /> GRADING&FILLING ............... ❑ <br /> OF MINNE BUIL NG CODE REQUI NTS. <br /> INSPECTIONS MUST BE CALLED-IN , - <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ �/ <br /> Signature ate �D Y <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved i y of Orono <br /> Brooklyn Prtg.&Adv.Co.Inc. (612)561�4470 <br />