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CITYofCHIOXO <br />Building: Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66. CRYSTAL BAY, MN 55323 <br />20MINQ DISTRICT <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT R.SlOE <br />REAR L.SIDE <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PR. EASEMENT <br />4737357 <br />SITE ADDRESS. <br />LEGAL DESCRIPTION; PROP. ID. <br />PERMIT N9 . 4093 <br />DATE ISSUED. 7- <br />EXPIRES__________________ <br />3WNER (Name) (Address) (Phone) <br />LI A-V/ A ^ <br />ARCHITECT/ENGINEER - Must Certi^ Multi-Family, Commercial & Industrial Construction Plans <br />:ertno <br />(Fifm) (Address) (Phone) <br />BUILDER (Firm) (Address) (Phone) <br />TYPE OF W()RK Addition Remodel Renovate <br />CONST TYPE BLDG. SIZE <br />u hl <br />EST CONST, VALUATION <br />aao * <br />RESIDENTIAL STORIES B I 2 3 <br />BDRMS/FLR <br />PERMIT FEES <br />BLOG. PERMIT /d . OC <br />DWELL. <br />UNITS STATE FEE <br />GAR STALLS <br />ATT <br />OET. <br />SEPTIC <br />APP DATE PLAN REVIEW <br />DOCK ^ 'S* / / /d X" <br />PENALTY <br />PARK FEENON-RESIO.PROPOSED USE <br />SAC CHARGEocc. <br />CLASS. <br />STORIES COUNCIL <br />APP. DATE TOTAL DUE /d, <br />REMARKS; <br />INSPECTION REQUIRED <br />. FOOTING before poui <br />. FRAMING rough'In <br />. INSULATION <br />. WALLBOARD Before Taping <br />. FlNALbeforeoccupeiKV <br />WORK BEYOND OR WITHOUT A RE- <br />QUIREO INSPECTION WILL BE SUB­ <br />JECT TO PENALTY. <br />INSPECTION HOURS 473-7357 <br />CALL 8 • 12 A M. INSP. 1 • 4 P.M. <br />CALL 1 • 4 P.M. INSP. NEXT DAY <br />WOP«< REOUIRING <br />SEPARATE PERMITS <br />PLUMBING __ <br />MECHANICAL <br />WELL ______ <br />SEPTIC____________ <br />SEWER____________ <br />WATER ___________ <br />GRADING & FILLING. <br />electrical from Slate <br />COPY: WHITE-FILE <br />CANARY - INSPECTOR <br />PINK-ASSESSOR <br />GREEN-FINANCE <br />GOLD RECEIPT <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 THF UNDER­ <br />SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM­ <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MIfitMSSQTA BUliJJING COQE REQUIREMENTS. <br />Approved ..City of Orono