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CITY of ORO NO <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66, CRYSTAL BAY, MN 55373 4/3-7357 .. ZONING DISTRICT ,,,irE ADDRESS 4E- <br />O <br />00 _ LEGAL DESCRIPTION: PROP. ID. -91 <br />FIRE ZONE <br />VAR.DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT R.SI <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 />PERMIT N° 4578 <br />DATE ISSUED <br />EXPIRES <br />r iy,o, <br />LOT S BLOCK <br />SUBDIVISION <br />OWNER (Na <br />(Address) <br />(Phone) <br />l <br />A',.t I "j <br />ARCHITECT/ENGINEER - Must Certify <br />Multi -Family, Commercial ndustrial Construction Plans <br />ERT.NO. <br />(Firm) <br />(Address) <br />(Phone) <br />BUILDER (Firm) <br />1,=,ddress) <br />(Phone) <br />TYPE OF WORK New <br />Addition Remodel <br />Renovate <br />k" J�_U;U_ <br />ftNST. TYPE BLDG. SIZE <br />EST. COp T. VALUATION <br />L. W. <br />?n.���7J1(} <br />,�O <br />Ht. <br />0 <br />RESIDENTIAL STORIES B 1 <br />2 3 PERMIT <br />EES <br />BLDG. PERMIT <br />DWELL. BDRMS/FLR <br />tl� <br />UNITS <br />STATE FEE <br />GAR. STALLS SEPTIC <br />(�O <br />ATT. APP. DATE <br />PLAN REVIEW <br />DET. <br />PENALTY <br />DOCK <br />NON-RESID. PROPOSED USE <br />PARK FEE <br />CAU <br />SAC CHARGE <br />ACC. <br />CLASS. <br />STORIES <br />COUNCIL <br />APP. DATE <br />TOTAL DU <br />REMARKS: k * a.333 <br />INSPECTION REQUIRED <br />je!� FOOTING before pour <br />✓ FRAMING rough -in <br />INSULATION <br />WALLBOARD Before Taping <br />FINAL before occupancy <br />WORK BEYOND OR WITHOUT A RE <br />QUIRED 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 />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING__ . <br />MECHANICAL <br />WELL <br />SEPTIC _ (w <br />SEWER <br />WATER __ <br />GRADING & FILLING - <br />ELECTRICAL from State <br />COPY WHITE -FILE GREEN -FINANCE <br />CANARY -INSPECTOR GOLD -RECEIPT <br />PINK -ASSESSOR <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 'HE UNDER <br />SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNES BUILDING CREMENTS <br />Signature /_ _ /z2w Date /Y-&/ <br />Approved(, 1 ) of Orono <br />