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CITY of OKONO _ _ - . <br /> Building Permit PERMIT NO. Jr9HH <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED �� <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT �T � � � <br /> SITE ADDRESS <br /> PROPERTY IDENTIFICATION NO.(PID) — — 3 a �O/ <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name) (Address) � (Phone��� <br /> � j�lG� <br /> VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family,Commercia & Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE ATE <br /> �rJ ` <br /> LOT A A BUILDER (Firm) (Address) '`�- 1 ie/��hone) <br /> /L- <br /> WIDT EPTH <br /> i r �ea� �'�1s-�-. �I Q ` �' �� <br /> TYPE OF WORK New Addition Remodel Renovate <br /> PROP SE SETBACKS: /��e�, <br /> FRON ; R. IDE ! ��r � (j <br /> REAR . � CONST.TYPE BUI DIN SIZE mated onstruction Valu�ion <br /> �_��- <br /> L. W. Ht. J <br /> LAKE WE ANDS <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION ��. �� <br /> ACCESS DWELL. STORIES B � 2 3 BLDG. PERMIT _ <br /> UNITS STATE FEE /� � <br /> NEW EXISTING GAR.STALLS NUMBER OF BEDROOMS <br /> AGENCY-APPROV. 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 /> REMARKS: TOTAL DUE � (�, , � � <br /> .� <br /> INSPECTION REQUIRED <br /> 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 /> ❑ . WALL60ARD before taping ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE- <br /> . . . . . <br /> FINAL before occupancy WELL.......................... <br /> � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> ❑ . . . . . . SITE INSPECTION SEPTIC.............................. ❑ <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 BUILDING CODE REQU RE NTS. <br /> GRADING&FILLING ............... ❑ <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ � ��y.� <br /> Signature � � '�S3te w�2� <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Appr ed ' ity of Orono <br /> Brooklyn Prtg.&Adv.Co.Inc. (612)561�470 <br />