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CITY of ORONO <br />Building Permit <br />and appucation for certificate of occupancy <br />^^gOX6R^RYSTAL_BA^ 55323 473-7357 <br />ZONING DISTRICT 3o4/:/ <br />Tir ^epartmen T <br />POST OFFICI <br />SITE ADDRESS----------------------' JUf) I i* J ' <br />property identification no (PIDI . — <br />block -------SUBDIVISION <br />owner :r“T“!AdS <br />permit no. 6379 <br />DATE ISSUED ■ ^ <br />(J2 <br />VAR. Di (Firm) (Aoaressi <br />(Phone) <br />lot area <br />BUILDER <br />WIDTH <br />,Kc A'/nz/.ni <br />TYPE OF WORK ' New gddilion Re <br />ICONST TYPE BUILDING SIZE <br />OCCUPANCY <br />ACCESI <br />NtfW"^ ^XISTING <br />age Ncyapptov. date <br />CITY <br />[DWELL <br />UNITS <br />GAR. STALLS <br />ATT <br />DET <br />STORIES B 1 2 3 1 <br />number of BEDROOMS <br />SEPTIC <br />APP DATE ____________ <br />Estimated Construction Valuation <br />permit fees <br />BLDG. PERMIT <br />priva >s»easement COUNCIL <br />APP DATE <br />STATE FEE <br />PLAN REVIEW <br />SAC CHARGE <br />SEWER UNIT <br />PARK FEE <br />PENALTY <br />OTHER <br />total due <br />/ SO- c:0 <br />3P_i^. <br />REMARKS: <br />NSPECTION REQUIRED <br />□ .....footing before pour <br />□ ......FRAMING fouo^'**'' <br />□ ......INSULATION <br />□ ......WALLBOARD before taping <br />□ .....FINAL before occupancy <br />□ .....SITE INSPECTION <br />WORK BEYOND OR WITHOUT A RE <br />OUIRED INSPECTION WILL BE SUB <br />JEPT TO PENAL nr. <br />INSPECTIONS MUST BE CALLED-IN <br />24 HOURS IN ADVANCE <br />WORK REOUIRING <br />SEPARATE PERMITS <br />plumbing ............. <br />mechanical ....... <br />WELL <br />SEPTIC......................... <br />SEWER ................. <br />WATER ............ <br />GRADING & FILLING <br />FIRE <br />acknowledgement <br />the UNOERSiGr^EO 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 WORK IN STRICT COM­ <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNESOTA BUILDING CODE REQUIREMENTS <br />Signatui <br />Date <br />COPY WHITE FILE <br />CANARY-INSPECTOR <br />PINK ASSESSOR <br />C. lilTJUI-MIO <br />GREEN-FINANCE <br />GOLD RECEIPT .C«tv Of Orono