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CITYof OIZ()N() PERMIT N� 52�1 � <br /> Building Permit -�J_ / �//� <br /> DATE ISSUED��' <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br /> P.O. BOX 66, CRYSI"AL BAY, MN 55323 473-7357/ Dl�� j <br /> ZONING DISTRICT SITE ADDRESS � , <br /> LEGAL DESCRIPTION: PROP. ID. �" ^ � <br /> LOT BLOCK SUBDIVISION <br /> FIRE ZONE <br /> WN (Nam ddre s) (Phone) <br /> VAR. DATE �� � 3 — � <br /> AR HITECT/ENGINEER — Must Certify Multi-Family, Commercial & Industrial Construction Plans <br /> COND. SE DATE ERT.NO. <br /> (Firm) (Address) (Phone) <br /> LOT ARE /� <br /> WI TH EPT BUI ER . (Firm) (Address) �f (Phone) <br /> PR SE SETBAC <br /> �� � � � � � �� <br /> FR N R.SI TYPE OF WORK New Addition Remodel Renovate <br /> R E D �. ���c1 i�z-�J� ./ �� <br /> CONST. TYPE BLDG. SIZE EST.CONST. VALUATION <br /> LA E TLAND �--Z� <br /> L. W. Ht. / U / 1 <br /> L/ <br /> AC ESS RESIDENTIA STORIES B 1 2 3 PERMIT FEES ^ <br /> BLDG. PERMIT D� � ' <br /> N EXISTING DWELL. BDRMS/FLR � <br /> AGENCY-APPROV. DATE UNITS STATE FEE <br /> CITY GAR.STALLS SEPTIC PLAN REVIEW <br /> ATT. APP. DATE <br /> COUNTY oET. PENALTY <br /> DOCK <br /> STATE <br /> NON-RESID. PROPOSED USE PARK FEE <br /> PR. EASEMENT oCC. <br /> SAC CHARGE <br /> C LASS. <br /> STORIES COUNCIL �� <br /> APP. DATE TOTAL DU <br /> REMAR KS: <br /> INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT <br /> FOOTINGbeforepour SEPARATE PERMITS <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> FRAMING rough-in <br /> INSULATION PLUMBING THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES <br /> WALLBOARD Before Taping MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> F INA L before occupancy <br /> SEPTIC <br /> MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER— <br /> WORK BEYOND OR WITHOUT A RE- SEWER <br /> QUIRED INSPECTION WILL BE SUB- SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br /> WATER <br /> JECT TO PENALTY. PLIANCE WITH AL� CITY OF ORONO ORDINANCES AND STATE <br /> GRADING& FILLING <br /> INSPECTION HOURS 473-7357 - OF MINNESOTA ILDING CODE RE EM NTS. <br /> CALL 8 - 12 A.M. INSP. 1 -4 P.M. ,� <br /> CALL 1 - 4 P.M. INSP. NEXT DAY EL TRICAL from State � <br /> Signature � ate � <br /> COPY: WHITE—FILE GREEN— /' <br /> CANARY—INSPECTOR GOLD—RECEIPT //�J� <br /> PINK—ASSESSOR Approv City o Orono <br />