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CITY of ORONO _ <br /> Building Permit PERMIT NO. 62681 <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT 3 S G <br /> SITE ADDRESS `� <br /> PROPERTY IDENTIFICATION NO.(PID) ,�� �/ 7 ' /23 '�Y 0/ <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name) (Address) (Phone) <br /> 3 b U cQ <br /> VAR. DATE ARCH ITE /ENGINEER- Must Certify Multi-Family,Commercial 19ndustrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DA � / <br /> LOT AREA BUILDER (Firm) (Address) (Phone)47Y-601 <br /> 1 <br /> WIDTH PTH n 1` 15, <br /> TYPE OF WORK New Addition Re mqJel enovate <br /> PROPOSEDACK S rrn 10 two <br /> FRONT IDE7 <br /> } <br /> CO ST.TYPE BUILDING E Estimat Construction Valuation <br /> REA L. SIDE <br /> L. W. Ht. <br /> LAKE 7LAIDS <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION <br /> ACCE S DWELL. STORIES B 1 2 g BLDG. PERMIT O 'JVD <br /> UNITS STATE FEE <br /> NEW EXIS ING GAR. STALLS NUMBER OF BEDROOMS <br /> AGENCY-APPROV. ATE ATTPLAN REVIEW <br /> CITY DET. SEPTIC <br /> APP. DATE SAC CHARGE <br /> COUNTY PROPOSED USE SEWER UNIT <br /> ST TE PARK FEE <br /> PENALTY <br /> PRIVATE E MENT COUNCIL <br /> APP. DATE OTHER <br /> REMARKS: <br /> TOTAL DUE <br /> INSPECTION REQUIRED <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> 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 MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> . . . . . before taping WELL..... ......................... ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> . . . . . before occupancy <br /> . ❑ <br /> El . . . . . 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 WATER.............................. ❑ PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. <br /> GRADING 8 FILLING ............... ❑ <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ /» 0 <br /> Signature �`' � Date <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved City of Orono <br /> Brooklyn Mg.&Adv.Co.Inc. (612)561-4470 <br />