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CITS' of ORONO <br />NO) <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-73`•7 <br />ZONING 1 RICT„ <br />FIRE DEPARTM NT, <br />POST OFFICE <br />VAR DATE <br />COND USE DATE <br />LOT AREA <br />I TH_ ! DEPT�b Q <br />PROPOSED SETBACKS: <br />FRO I R SIDE <br />REAR / L SIDE 3S I <br />J-0 I <br />LAKE WETLANDS <br />ACCESS <br />EXISTING <br />A NCY-APPROV DATE <br />CITY <br />COUNTY <br />STATE <br />PRA PatLEAZSMENT <br />REMARKS <br />PERMIT NO. 5882, <br />( <br />DATE ISSUED 3 <br />SITE ADDRESS_ k-e- ( <br />PROPERTY IDENTIFICATION NO iPID)' <br />LOT BLOCK SUEDIVISION <br />essi <br />OWNER 1ddr/L�el Y <br />"A- <br />�1 rL4MTVI�(� <br />ARCHITECT/ENGINEER - Must Certify Multi -Family. Commercial & Industrial Const u ti Plan <br />(Firm) (Address) (Phone) <br />BUILDER (Firm) <br />IAddressi <br />(Phone) <br />TYPE OF WORK New Addition <br />Remodel <br />Renovate <br />-JS I'd eq <br />c <br />CONST TYPE <br />BUILDING SIZE <br />Estimated Construction Valuation <br />re'( rME_ <br />L ZIL/ W <br />"7 <br />H <br />OQ <br />OCCUPANCY-� <br />PERMIT FEES <br />CLASSIFICATION <br />BLDG. PERMIT <br />, 01) <br />DWELL <br />STORIES B 1 2 3 <br />' <br />UNITS <br />STATE FEE <br />PLAN REVIEWtl- <br />_ Sl_0% 00 <br />STA LLS <br />ATT <br />NUMFLF9 OF BEDRO <br />- <br />MS <br />DET <br />SEPTIC <br />APP DATE — <br />- <br />S <br />�C CHARGE <br />SEWER UNIT <br />PARK FEE <br />_ <br />PROPOSED USE <br />PENALTY <br />COUNCIL <br />APP DATE <br />OTHER <br />INSPECTION REQUIRED WORK REQUIRING <br />SEPARATE PERMITS <br />.... FOOTING before pour <br />FRAMING rough -in PLUMBING <br />INSULATION MECHANICAL <br />... WALLBOARD before tapinq <br />.... FINAL before occupancy WELL <br />... SITE INSPECTION SEPTIC <br />WORK BEYOND OR WITHOUT A RE- SEWER /❑ <br />QUIREO INSPECTION WILL BE SUB- WATER.. Cl <br />INSPECTIONSPENALTY <br />INSPECTIONS MUST BE CALLED -IN GRADING a FILLING El <br />El24 HOURS IN ADVANCE FIRE <br />COPY WHITE -FILE GREEN -FINANCE <br />CANARY -INSPECTOR GOLD -RECEIPT <br />PINK -ASSESSOR <br />are"" by a A-* Ov 1- 012111414470 <br />TOTAL DUE JS /9 <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY RFOUESTS PERMISSION TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED AND DECLARE`, <br />UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br />ANCE OF ALL INFORMATION CONDITIONS AND REOUIRE- <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 MINNESOTTA�BUILDING <br />/)CODE REOUIREMENTS <br />Signature r� w�"1- /'�t.7L0� Date 3' 6 <br />