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CITYofOKOXO <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66 CRYSTAL BAY, MN 55323 473-7357 <br />/\c/. <br />PERMIT NO. 5B33 <br />DATE ISSUED <br />ZONING DISTRICT ^7? K-/x6 <br />FIRE DEPARTMENT y ^ ^ <br />POST ofI^ic ^ / <br />VAR DATE ^ <br />COND use DATE <br />LOT AREA <br />PROPOSED SETBACKS <br />REAR L SIDE ^ ^ . <br />^6- 3 <br />LAKE WETLANDS <br />ACCESS p/lwVx-K- <br />agencyapprov T5a TF <br />CITY <br />COUNTY <br />STATE <br />'pR^ATE EASEMENT ^ <br />SITL AOUnt Sb <br />PROPERTY IDU^IFICATION NO iPIDi . <br />LOT______eS_BLOCK _______. f^iiRnivis-.iON /lo/d <br />remarks <br />3or\n -^c{.'^^o/}uSrf- ^sy 3'f‘t-fs^i/Q <br />ARCHITECT ^ENGINEER Mus! Multi-F.ii^iTiy'tfcV7f»ni4W<<l'<V in(^[j*?5r^Construction Plans <br />(Firm! (Address! (Phonei <br />4^-r-jpf/ <br />BUILDER (Firm) lAddressi (Phone) <br />TYPE OF WORK r ^Now Addition R#^*nodel Renovate <br />CONST TYPE buh 'ding size <br />L ^7/ HI,3/ <br />Estimated Construct'on Valuation <br />S.Q73- c>0(^ <br />OCCUPANCY <br />CLASSIFICAT ION <br />PERl/lT FEES <br />BLDG PERMIT ^ <br />STATE FEE / 3 ^ <br />PLAN REVIEW 3 '5C <br />SAC CHARGE <br />SEWER UNIT ______ <br />PARK FEE . ............ <br />PENALTY ................. . <br />OTHER ............................. <br />DWELL <br />UNITS <br />STORIES B 1 1^2^ 3 <br />GAR STALLS <br />ATT <br />DET <br />NUMBER O^EDROOMS <br />app 'date <br />F^ROPOSED USE <br />COUNCIL <br />APP DATE <br />,0>AL0UE if <br />INSPECTION REQUIRED WORK REQUIRING <br />SEPARATE PERMITS <br />..........FOOTING before pour <br />..........FRAMING rough in PLUMBING JU <br />..........INSULATION MECHANICAL <br />.... WALLBOARD before taping <br />WLLL.............FINAL before occupancy <br />LK..........SiTF INSPECTION SEPTIC <br />WORK BEYOND OR WITHOUT A RE SEWER 0 <br />QUIRED INSf^ECTION WILL BE SUB <br />JECT TO PENALTY WATER n <br />GRADING & FILLING D <br />4NSPECTIONS MUST BE CALLED !N <br />24 HOURS IN ADVANCE FIRE D <br />ACKNOWLEDGEMEf^T <br />THt UNDtHilONtD HtRCBr wtuUtSTS PfOMISSlON TO MAKE <br />THt iMPROVtMfNTS SPtOHtD AND OtCLARl S <br />UNUtN penalty Of law ACKNOWLEIXitMENT AND ACCEP • <br />ANCE ALL NfORMATfON CONDITIONS AND REQUIRE <br />MINTS REPHESENTED ON THIS DOCUMENT THE UNDER- <br />SK.NED njRTHfR ACiREES TQ DO ALL WORK IN STRICT COM- <br />PL.ANCt with all city Of OHONO ORDINANCES AND STATE <br />Of MiNNf SOTA building CODE RlQUiRfMFNTS <br />S»qnalu»*» <br />COPY WHITE file <br />CANARY INSPECTOR <br />HINK ASSESSOR <br />nA A«ik G» trH <br />ORE t N f >NANCE <br />GOLD HU iiPT <br />AppfOV^-il <br />Dat«»5t <br />C -t¥ Ol OrOAC