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Mm•«s <br />t <br />CITY ©f ©MONO <br />Building Permit <br />AMD APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 65. CRYSTAL BAY, MN 55323 473-7357 / <br />------------------SITE ADDRESS i?±cVlOc/ <br />__________________ «r.ANn -//T <br />rs. ^ <br />ZONING DISTRICT SITt AUUrtc:>:»—■ — ------- —^ <br />legal DESCRIPTION: PROP. \0 ^CJIZJZJJlz^----- <br />,r,T __________block ________________SUBOIVISipjli <br />ARCHITECT/ENGINEER - Certify MuUi Family, Comme-cial £t Induitfit Corntruct on lans <br />:ERT NO. “(Address) <br />permi T'K? I 51521 <br />DATE ISSUED .,//?-* ~..^3. <br />EXPIRES-------------------------------— <br />Ad. <br />!l <br />'Address) l?^o^e) y?Z <br />L-©sr.Ci Lft*jPi».>» 2.2C1 <br />(Phone I <br />(Phone) <br />C/7P . <br />Renovate <br />EST. CONST, valuation <br />^ o c. <br />PERMIT FEES <br />BLOG. PERMIT ^ <br />STATE FEE <br />PLAN REVIEW <br />.21. <br />oo <br />PENALTY <br />ttTrSsc PJ'eltM.'t <br />TAOeK^Cg <br />C c <br />SAC CHARGE <br />OTALDUE ^j <br />-J <br />INSPECTION REQUIRED <br />• ■ « .J <br />' ‘.‘/■. 1 <br />FOOTING bflo't pour <br />FRAMING rough ir^ <br />INSULATION <br />WALLBOARD Bf»o # Taping <br />WORK REQUIRING <br />SEPARATE PERMITS <br />Plumbing <br />f Pi •- V,' <br />V *. • <br />FINAL be'orf CwCuoa -rv <br />mechanical <br />VSFLL _ <br />y <br />. r • <br />. V»' <br />«« V* <br />WORK BEYOND OR WITHOUT A RE- <br />QUIRFO INSPECTION WILL BE SUB <br />JECT TO penalty . <br />INSPECTION HOURS 473 73S7 <br />calls • I? a M INSP. 1 • 4 P M. <br />CALL 1 • < P M INS?. NEXT OAY <br />SEPTIC <br />SEWER <br />WATER <br />grading & T iLL'Nu .. <br />Mi <br />electrical ♦rom Slltf <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQlESTS PERMISSION TO VA»c <br />THE REAL iVPROVEMc NTS SPECIPISD. AND OECLAAI <br />UNDER penalty OF LAW ACNNOWLEOCEVENT AND ACCEP <br />ANCE OP all information . CONDITIONS ANO RcQUiR <br />VENTS REPRESENTED ON THIS DOCUMENT THE UNOEF <br />SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT CO <br />PLIANCE with all City of ORCNO ordinances ANO STA <br />OF WlNNESCTi^L'^iNG CODE REQU'REVrNTS <br />CQPV*white-file: <br />canary -inspector <br />Di»i* .a^scsSOR <br />GREEN-FINANCS <br />gold -receipt <br />y£:i^jL <br />c,:. «< a. <br />1