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'1TY of ORONO t PERMIT ND _ 5420 I <br /> luilding Permit <br /> DATE ISSUED _ <br /> ,ND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES — <br /> '.0. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT SITE ADDRESS <br /> LEGAL DESCRIPTION: PROP. ID. '�J ?F, <br /> LOT BLOCK SUBDIVISION <br /> FIRE ZONE I 1 <br /> (Name) (Address) (Phone) <br /> VAR. DATE <br /> ARC ECT/ENGINEER — Must Certify Multi-Family, Commercial & Industrial Construction Plans <br /> COND. USE DATE ERT.NO. <br /> (Firm) (Address) (Phone) <br /> LOT AREA <br /> WIDTH DEPTH BU DER ( 'r ) (Address) (Phone) <br /> 9 - <br /> PRC SE SETBACKS <br /> FR N SIDE TYPE OF WORK New Addition Remodel Renovate <br /> REA R IDE 9A-:�4� <br /> CONST.TYPE BLDG.SIZE EST.C9NST. VALUATION <br /> LAK WETLAN xy(y�// <br /> i <br /> LV-1 . W. Ht. --�. <br /> AC S RESIDENTIALSTORIES B 1 2 3 RMIT FEES <br /> BLDG. PERMIT � <br /> N W E I ING DWELL. BDRMS/FLR <br /> AGE CY-A R V. DATE UNITS STATE FEE <br /> CITY GAR.STALLS SEPTIC <br /> ATT. APP. DATE PLAN REVIEW <br /> COUNTY DET. PENALTY <br /> DOCK <br /> STATE NON-RESID, PROPOSED USE PARK FEE <br /> PR. EASEMENT OCC. SAC CHARGE <br /> C LASS. <br /> STORIES COUNCIL ? 3 V <br /> APP. DATE TOTAL DUE <br /> REMARKS: <br /> FNON REQUIRED WORK REQUIRING ACKNOWLEDGEMENT <br /> FOOTING before pour SEPARATE PERMITS <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> FRAMING rough-in <br /> INSULATION PLUMBING THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES <br /> WALLBOARD Before Taping MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> SEPTIC MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER— <br /> ND OR WITHOUT A RE- SEWER <br /> SPECTION WILL BE SUB- SIGNED FURTHER AGREESTO DO ALL WORKS IN STRICT COM- <br /> WATER <br /> NALTY, PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> GRADING&FILLING <br /> N HOURS 473-7357 OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> 2 A.M. INSP. 1 -4 P.M. <br /> 4 P.M. INSP. NEXT DAY ELECTRICAL from State <br /> Signature Date <br /> COPY: WHITE—FILE GREEN—FINANCE �— <br /> CANARY—INSPECTOR GOLD—RECEIPT <br /> PINK—ASSESSOR Approve City of Orono <br />