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CITI' O <br />PERMIT M 55911 <br />Building Permit DATE ISSUED <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.O. BOX Fib, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DI TRICT SITE ADDRESS 7 7 jAo:::, D 101 <br />LEGAL DL.SCR IPTION: PROP. ID. Ji-- 11 7 — a 3 (-/ a O ! e-,1!? <br />LOT_ _BLOCK SUBDIVISION <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT R.SIDE <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 />WN (Name ; LddLe,,) (Phone) 6L4G <br />601.1 71- 7 .5 <br />ARCHITECT/EN EER — Must Certify Multi -Family, Commerc' & Industrial Construction Plans <br />ERT.NO. <br />(Firm) (Address) (Phone) <br />BUILDER (Firm) (Address) 61 yi n ' !W0lte1 s <br />TYPE OF WORK eW Addition Remodel Renovate <br />CONST. TY'•t BLDG. SI EST. CONST. VALUATION <br />L bY. Ht. <br />RESIDENTIA STORIES 13 1 2 3 <br />DWELL. BDRMS/FLR <br />UNITS <br />GAR. STALLS SEPTIC <br />ATT. I APP. DATE <br />DET <br />INON-RESID. I PROPOSEn USt <br />INSPECTION REQUIRED <br />FOOT ING 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 B- 12 A M INSP. 1. 4 P.M. <br />CALL 1 - 4 P.M. INSP. NEXT DAY <br />occ. <br />CLASS, <br />STORIES COUNC <br />APP.0 <br />WORK REQUIRING <br />SEPARATE PEPMITS <br />PLUMBING _ <br />MECHANICAL <br />WELL <br />SEPTIC _ <br />SEWER <br />WATER <br />GRADING & FILLING <br />ELECTRICAL from State <br />COPY WHITE -- FILE GREEN -FINANCE <br />CANARY -INSPECTOR GOLD F ECEIPT <br />PINK -ASSESSOR <br />PERMIT FEES <br />F3LDG. PERMIT <br />STATE FEE <br />PLAN REVIEW <br />PENALTY <br />PARK FEE <br />SAC CHARGE <br />.001 <br />i <br />Tr " 1L DUE a0. S <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />THE REAL IMPROV,.MENTS ,PECIFIED, AND DECLARES <br />UNDER PENALTY OF LAW ACKNOWLEDGMENT 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 WORKS IN STRICT COM- <br />PLIAN^E WITH ALL CI I Y OF ORONO ORDINANCES AND STATF. <br />OF MINNESOTA BUILLING CODE REOUIREMENTS. <br />Signaturo Date <br />Approved / `�"" `!_�C1yofno <br />