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ITYof OMO:XO <br />uildingVPWmit <br />f i <br />D appucatioi Ifo^certificate of occupancy <br />). BOX 66. CRY sVl MN 55323 473-7357 <br />SITE ADDRESS___________ <br />IRE ZONE <br />AR. DATE. <br />OND. USE DATE m <br />Tdei <br />•ROPOSED SETBACKS ^ / <br />L.SIDE,^ / <br />/ WETLANDS <br />ACCESS dr'n <br />NEW EXISTING <br />KGENCY APPROV. DATE <br />JITY <br />COUNTY <br />ITATE <br />m. EASEMENT <br />LEGAL DESCRIPTION: PROP. ID.. <br />lot____________ ■BLOCK <br />m <br />PERMIT 5383 <br />DATE ISSUED <br />EXPIRES -y<j____ ___^ y/<y <br />SUBDIVISION_________________ <br />ffi.'A-V'Si (Address)a <br />RCHITECT/ENGINEER - Must Certify MuUi-Family, Commercial fit Industrial Construction Plans <br />ERT.NO. <br />(Firm)(Address)(Phone) <br />B^LDfR fl (Firm) <br />(mMdJM <br />(Address) (Phonef^^^ <br />'/{/,/i^h f.r:3-//yy <br />TYPE OF WO <br />COMST TYPf <br />UjCiZ'i <br />New Addition Remodel Renovate <br />pyino Q <br />BLDG. SIZE <br />Ht. <br />RESIDENTIAL <br />dwell . <br />UNITS <br />GAR STALLS <br />ATT. <br />DET. <br />NONRESID. <br />OCC. <br />CLASS. <br />STORIES <br />STORIES B <br />BDRMS/FLR <br />SEPTIC <br />APP. DATE <br />DOCK <br />PROPOSED USE <br />COUNCIL <br />APP. DATE <br />EST. CONST. VALUATION <br />^//r. <br />PERIvllT FEES <br />BLDG. PERMIT <br />STATE FEE <br />PLAN REVIEW <br />PENALTY <br />PARK FEE <br />/yZ) <br />total. <br />^.EMARKS: of /l/ia/'j77aisz^ /t. <br />u. ^ ,'/he <br />inspection REQUIRED <br />FOOTING before pour <br />FRAMING rough-in <br />INSULATION <br />WALLBOARD Before Taping <br />1=^F INAL before occupancy <br />V <br />WORK BEYOND OR WITHOUT A RE- <br />TUIRED INSPECTION WILL BE SUB- <br />'CT TO PENALTY. <br />•NSPECTION HOURS 473 7357 <br />•ALLS 12 A M INSP 1 • 4 P.M. <br />ALL 1 4 P.M INSP NEXT DAY <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING t <br />MECHANICAL £ <br />WELL <br />sFPTiriAY^ <br />SEWER Leiy. <br />WATER t <br />GRADING & FILLING <br />electrical from <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 />MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER­ <br />SIGNED further agrees TO DO ALL WORKS IN 3THICT COM­ <br />PLIANCE WITH ALL CITY Or ORONO ORDINANCES AND STATE <br />OF MINNESOTA BUILDING CODE REOUlREMJiNTS. ) <br />Signatuie <br />WHITE-^FILE GREEN FINANCE <br />CANARY INSPECTOR GOLD MFCttPT 'A c ,