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(JTY of OROXO <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66. CRYSTAL BA <. MN 56323 473-7357 <br />SITE ADDRESS LM^S <br />PERMIT I' 5433 <br />DATE ISSUED <br />EXPIRES----------------------------- <br />ZONING DISTRICT <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />lo /4C <br />WIDTH ^Ulr DEPTH ^ <br />D^OS* <br />PROPOSED SETBACKS <br />FRONT R.SIDE , <br />REAR ®’TSIDE <br />too 'f <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY APPRCV. DATE <br />CITY <br />COUNTY <br />STATE <br />PR. EASEMENT <br />REMARKS; ^ UiT" <br />INSPECTION REQUIRED <br />SUBDIVISION <br />LEGAL DESCRIPTION; PROP. ID. fl7 <br />LOT ^EOCK^^^^^^^^ <br />)WNER (Name) (Address) <br />/^,ei^Aey\ Po<^ <br />(PhoncLi.1 iT.i‘7*3t| <br />ARCHITECT/ENGINEER - Must Certify Multi-Family, Commercial & Industrial Construction Plans <br />ERT.NO. <br />(Firm)(Address)(Phone) <br />BUILDER <br />JL. <br />(Firm) (Address) --'ore' <br />uTs'C/J /T y sy’k' /^s'L/ciaXj <br />New aldition femodr.enovateI,TYPE OF WORK <br />CONST TYPE BLDG. SIZE <br />^ Vt? <br />HtSIDENTIAU <br />DWELL. <br />UNITS <br />OAR STALLS <br />'att <br />UET ^ <br />NON HESlD <br />occ <br />CLASS <br />STORIES B <br />BDRMS.'FLR <br />SEPTIC <br />APP DATE <br />DOCK <br />P.ROPOSED US'" <br />STORIES COUNCIL <br />APP DATE <br />EST. CONST valuation <br />*50, OoO <br />PERMIT FEES <br />BLDG. PERMIT 1^0 > <br />STATE FEE <br />PLAN REVIEW <br />lO- oo <br />IQ.S^C <br />PENALTY <br />♦F*Afttj-rrE oo <br />SACCHAP*..:> __ <br />TOTAL DUE .OO <br />__r4L< f=^r. ^/ce <br />i2< <br />rOOTING r>elofe pout <br />FRAMING rough in <br />INSULATION <br />WALLBOARD Before Taping <br />FINAL before occupancy <br />WORK BEYOND OH WITHOUT A RE <br />OUIBED INSPECTION WILL BE SUB­ <br />JECT TO PENALTY. <br />inspection hours t73-7357 <br />CALLS 12 A M INSP 1 4 PM <br />CALL 1 4 P M INSP NEXT DAY <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING <br />MECHANICAL <br />WELL_______ <br />SEPTIC <br />SEWER <br />WATER <br />GRADING & FILLING <br />electrical from Stale <br />ACKNOWLEDGEMENT <br />the undersigned HEREBY REQUESTS PERMISSION TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br />UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT­ <br />ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE- <br />7.1ENTS REPRESENTED ON THIS DOCUMENT. THE UNDER­ <br />SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM­ <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNESOTA BUILDING CODE REQUIREMENTS <br />COPY white -file <br />CANARY INSPECTOR <br />OiKiw' Acrrrrr^.r» <br />GHLtN FINANCE <br />GOLD MLCUPT <br />Signature <br />1