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CITY of ORONO PERMIT <br /> Building Permit <br /> DATE ISSUED <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br /> EXPIRES <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT SITE ADDRESS <br /> LEGAL DESCRIPTION: PROP. ID. UG <br /> LOT BLOCK SUBDIVISION <br /> FIRE ZONE <br /> WNER (Name) (Address) (Phone) <br /> VAR. DATE <br /> ARCHITECT/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 BUILDER (Firm) (Address) (Phone) <br /> PROPOSED SETBACKS <br /> FRONT R.SIDE TYPE OF WORK New Addition Remodel Renovate <br /> REAR L.SIDE <br /> CONST.TYPE BLDG.SIZE EST.CONST. VALUATION <br /> LAKE WETLANDS <br /> L. W. Ht. <br /> ACCESS RESIDENTIAL STORIES B 1 2 3 PERMIT FEES <br /> BLDG. PERMIT <br /> NEW EXISTING DWELL. BDRMS/FLR <br /> AGENCY-APPROV. DATE UNITS STATE FEE <br /> CITY GAR.STALLS SEPTIC •PLAN REVIEW <br /> ATT. APP. DATE <br /> COUNTY DET. PENALTY <br /> DOCK <br /> STATE <br /> NON-RESID. PROPOSED USE PARK FEE <br /> PR. EASEMENT OCC. SAC CHARGE <br /> C LASS. <br /> STORIES COUNCIL <br /> APP. DATE TOTAL DUE <br /> REMARKS: <br /> FON REQUIRED WORK REQUIRING ACKNOWLEDGEMENT <br /> FOOTING before pour SEPARATE PERMITSTHE 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 /> FINALbefore occupancySEPTIC MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER— <br /> ND OR WITHOUT A RE- SEWER <br /> SPECTION WILL BE SUB- SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br /> WATERNALTY, PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> N HOURS 473-7357 GRADING&FILLING2 A.M. INSP. 1 -4 P.M. <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <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 Approved City of Orono <br />