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CITYofORONO <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66. CRYSTAL BAY. MN 56323 473-7357 <br />PERMIT NO. <br />DATE ISSUED <br />6359 <br />ZONING DISTRICT <br />FIRE DEPARTMENT <br />POST OFFICE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />CITY <br />COUNTY <br />STATE <br />PRIVATE EASEMENT <br />SITE ADDRESS____ <br />PROPERTY IDENTIFICATION NO. (PID) <br />LOT_____________BLOCK <br />lOMMOtPIDI <br />SUBDIVISION. <br />O^R <br />m 111. <br />ARCHITECT/BN6INEER - ^8t Cer <br />(Firm) <br />(Address)(Phone) <br />~ Must Certify Multi-Family. Commercial & Industrial Construction Ptans <br />(Address) (Phone) <br />BUILDER (Firm) (Address)(Phone) <br />[TYPE OF WORK New Addition <br />CONST. TYPE BUILDING SIZE <br />L \ <br />Remodel Renovate <br />OCCUPANCY <br />CLASSIFICATION <br />DWELL. <br />UNITS <br />GAR. STALLS <br />ATT. <br />DET. <br />STORIES <br />NUMBER OF BEDROOMS <br />SEPTIC <br />APP. DATE <br />PROPOSED USE <br />COUNCIL <br />APP. DATE <br />REMARKS:__________r—1________________________________________________________ * <br />_________ntervid 1 r 4-fon . <br />Estimated Construction ValuationKj C^structior <br />jjiro <br />PERMIT FEES <br />BLOa PERMIT . . <br />STATE FEE <br />PLAN REVIEW <br />SAC CHARGE <br />SEWER UNIT <br />PARK FEE <br />PENALTY <br />OTHER <br />•SO <br />TOTAL DUE <br />INSPECTION REQUIRED <br />□ ................FCX>TINQ before pour <br />□ ................FRAMING rough-in <br />□ ................INSULATION <br />^.........WALLBOARO before lapmg <br />f .........RNAL before occupancy <br />^.........SITE INSPECTION <br />WORK BEYOND OR WITHOUT A RE­ <br />QUIRED INSPECTION WILL BE SUB­ <br />JECT TO PENALTY <br />INSPECTIONS MUST BE CALLED-IN <br />24 HOURS IN ADVANCE <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING............. <br />MECHANICAL.......... <br />WELL..................... <br />SEPTIC.................... <br />SEWER.................... <br />WATER.................... <br />GRADING a FILLING <br />FIRE........................ <br />□□□□□□□ <br />n <br />copy WHITE file <br />CANARY-INSPECTOR <br />PINK-ASSESSOR <br />■rwiiviirwe.aaei.ca.vu. Mietaiaafo <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. 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 ffCDUIREMENTS. <br />SMjnalure ^ ^ <br />Approved <br />i"- A- <br />of Orono