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CITY of ORONO <br /> Building Permit PERMIT NO. 5811 <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED K)_DC2'K <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 r <br /> ZONING DISTRICT SITE ADDRESS ,} <br /> PROPERTY IDENTIFICATION NO.(PID) — ��� � ��4-^ <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name) (Address) (Phone) <br /> VAR. DATE AR HITECT/ENGINEER- Must Certify Multi-Family, Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT ARE ' BUILDER (Firm) (Address) (Phone) <br /> WIDTH \\DN <br /> TYPE OF WORK New Addit on Remodel enovate <br /> PROPOSED SE ACKS: <br /> FRONT E <br /> rc o-f' <br /> REAR L SIDE CONST.TYPE BUILDING SIZEEs-ti'mated Construction Valuation <br /> L. W. Ht. <br /> LAKE WE A DS <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION `S �r+y <br /> ACCESS DWELL. STORIES B 1 2 3 BLDG. PERMIT lJ �Lll <br /> UNITS STATE FEE 50 <br /> NEW ISTING GAR. STALLS NUMBER OF BEDROOMS <br /> AGENCY A DATE ATT. PLAN REVIEW <br /> CITY DET. SEPTIC SAC CHARGE <br /> APP. DATE <br /> COLIN PROPOSED USE SEWER UNIT <br /> STATE PARK FEE <br /> r <br /> RIVATE EASE NT COUNCIL PENALTY <br /> APP. DATE OTHER <br /> REMARKS: TOTAL DUE �• <br /> INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT <br /> F-1 . . . . . . FOOTING before pour SEPARATE PERMITS 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 /> F-1 . . . . . WELL............................... <br /> WALLBOARD before taping ❑ ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE- <br /> . . . . . FINAL before occupancy <br /> ❑ . . . . . . SITE INSPECTION SEPTIC.............................. ❑ MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RE SEWER.............................. El SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> ANCE WITH <br /> Y OF <br /> NO <br /> ED <br /> JQECTTO INSPECTION WILL BE SUB- GRADING 8 FILLING ............... ❑ OFIMINNESOT ALILDITG�OD ROQUIREMIN ORDINANCES AND STATE <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ /! Z 'z <br /> Signature Date/O <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved �1 ono <br /> Brooklyn Mg.&Adv.Co.Inc. (612)561-4470 <br />