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CITYofOROXO „„ <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY • ISSUED /J <br />4737357^ /p EXPIRES — <br />^OmInGDISTRICT I SITE ADDRESS P/ O'iiJ> PjhcL ^ <br />LEGAL DESCRIPTION: PROP. ID. _ <br />LOt36"3 7-W>S^hi nrK _ <br />ZONING DISTRICT <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />PROPOSED SETBACKS <br />R^9 L.SIDE, ^ <br />7/ 06 <br />LAKE WETLANDS <br />ACCESS <br />/NE)^ EXISTING <br />AdfeSCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PR. EASEMENT <br />/ <br />■SUBDivision^.^>^7^ e 'S J^jrJn . <br />DWNfR (Name) (Addrest)/ (Phone) <br />'^^0^1/ /Inf^/,^3fy0 4^7/~^$7s <br />ARCHTr^T/ENGlrfEER - Must Certify Multi Family, Commrcid & Industrial (^instruction Mm$ <br />CERT. NO. <br />(Firm)(Address)IPhone) <br />(Firm) <br />. An ■ <br />(Address) <br />TYPE OF WORK <br />(Phone) <br />Addition Remodel Renovate <br />CONST TYPE <br />RESIDENTIAL <br />/ <br />NON RESID. <br />STORIES <br />BLOG SIZE <br />«3/ <br />STORIES <br />BORMS/FUt <br />SEPTIC <br />APP. DATE <br />DOCK j/o <br />PROPOSED USE <br />COUNCIL <br />APP. DATE <br />REMARKS: <br />EST. CONST. VALUATION <br />noD <br />PERMIT F <br />BLDG. PERMIT 7 CO <br />STATE FEE <br />PARK FEE <br />SAC CHARGE <br />cits' <br />93 00 <br />^atSOT) <br />3S^roo <br />^A f) 00 <br />TOTAL DUE /3/2. <br />vu f^COi3 Ci Lo-f 'f^ri 11 U n-~tl I <br />INSPECTION REQUIRED <br />FRAMING fough-in <br />INStfl ATiriM <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING <br />WALLBOARO Before Tapmq MECHANICAL <br />eiRJAl ______WELL <br />SEPTIC <br />WORK BEYOND OR WITHOUT A RE­SEWER . <br />QUIRED INSPECTION WILL BE SUB­ <br />JECT TO PENALTY.WATER <br />GRADING A Ell 1 ING <br />INSPECTION HOURS 473-7357 <br />CALLS - 13 A.M. INSP. 1 ■ 4 P.M. <br />CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State <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 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 />PINK-ASSESSOR <br />GREEN-FINANCE <br />GOLD-RECEIPT <br />______________ <br />____t.______/___Citv ofCity of Orono