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CITY of ORON <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT SITE ADDRESS 7 3 co D' <br />/ LEGAL DESCRIPTION: PROP. ID.. -7- <br />FIRE ZONE LOT - :I� RI nrlc <br />e_ - L <br />VAR.DATE <br />COND. USE DATE <br />LOT AREA a a <br />WIDTH DEPTH <br />L <br />PROPOSED SETBACKS <br />FRONT R.SIDE <br />REAR L.SIDE <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTIN <br />AGENCY -A TE <br />CITY — <br />COUNTY <br />STATE <br />PR. EASEMENT <br />REMARKS: /-!7- -" <br />INSPECTION REQUIRED <br />_ v FOOTING before pour <br />—�_ FRAMING rough in <br />INSULATION <br />i� WALLBOARD Before Tap,, <br />FINAL before occupancy <br />WORK BEYOND OR WITHOUT A RE <br />OUIREO INSPECTION WILL BE SUB <br />JECT TO PENALTY <br />INSPECTION HOURS 473 73b7 <br />CALL 12AM INSP 1-4PM <br />CAi L 1 4 P.M INSP NEXT DAY <br />L-1 <br />PERMIT Nr) _ 55371 <br />DATE ISSUED �8 <br />EXPIRES <br />¢t lcnnncinr.r 12. —5 � , i—\ . _ _/ <br />WNER <br />(Name) <br />(Address) -3 (Phone) <br />L <br />R0<<�I ��_�-,�� <br />,. <br />ARCH/ENGINEER <br />- Must Certify Multi -Family, Commer ial & Industrial construction Plans <br />ERT.NO. <br />(Firm) <br />(Address) (Phone) <br />BUILDER <br />(Firm) <br />Address), �(o��(Phone) <br />-Alt, Lf-c <br />�-oas <br />TYPE OF ORK Ne Addition Remodel Renovate <br />CONST TYPE <br />BLDG SIZE 4�t, Pxs-nr I ✓✓Q q <br />EST CONST VALUATION <br />rro OIX <br />L S W <br />pit /5*17 <br />it /35000. 0� <br />RESIDE NTIA <br />s70HlFs B <br />s <br />PERMIT FEES <br />BDRMSFLR <br />BLDG PERMIT sr_� �, t6 <br />DWELL <br />uNlrs /'=2 <br />6/St <br />`STATE FEE <br />pLgN REVIEW z <br />GAR STALLS <br />T T .3 <br />SEPTIC <br />AFP DATE / _ / u _�� <br />l <br />DIET <br />PENALTY <br />DOCK <br />PARK FEE <br />NON RESID <br />PROPOSED USE <br />SAC CHARGE gas oa <br />QCC <br />CLASS <br />STORIES <br />COUNCIL <br />APP DATE <br />TOTAL DUE <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING _ I <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 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. THE UNDER <br />SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNESOTA BUILDING CODE REQUIREMENTS <br />Siqnature le <br />' <br />Date <br />Approved �� Z T <br />rono O of <br />