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TY of OW N() <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66. CRYSTAL BAY, MN 55323 473.7357 <br />ZONING D <br />7pT <br />FIRE DEPARTMENT <br />POST FFICE <br />VAR. DATE OF <br />COND. USE DATE <br />LOT AREA <br />f <br />WI or LEPIT � <br />11) IL <br />PROPOSED SETBACKS. <br />FRO / R. S / <br />�i�1fl L SID <br />LAKE WETLANDS <br />ACCESS <br />NEW XI <br />AGF_NCY-APPR V. DATE <br />CITY <br />GAUNTY <br />STATE <br />PRIVATE EASEMENT <br />REMARKS: f-t - <br />PERMIT NO. 5626 <br />DATE ISSUED � —aav? <br />n <br />SITE ADDRESS <br />PROPERTY IDENTIFICATION NO. IPID) <br />LOT _BLOCK Z SUBDIVISION <br />0%�4ER ,gamy - (Address) <br />HITEgT/ENGINEER - Must Certify Multi -Fame Fv. Comrlercial3 <br />(Firm) (Address) <br />.12 0 A05fI't <br />(Phone) <br />1al Construction Plans <br />(Phone) <br />BUILDER (Firm) (Address) <br />(Phone) <br />- <br />TYPE OF w6RK New Addition Remodel <br />Renovate <br />CONST. T;;--Y��PE <br />BUILDING SIZE <br />Estrin led Construction Valuation <br />L/ <br />. � W. Ht <br />, <br />OCCUPANCY i�� <br />1 <br />p RMIT FEES <br />CL<S3IFICATI N <br />BLDG. PERMIT <br />fC7 <br />D!A,ELL <br />/ <br />STORIES B t 3 <br />UNITS <br />STATE FEE <br />S <br />TALLS <br />NUM ER OF BED <br />� "' <br />3 <br />PLAN REVIEW <br />DET <br />APPTDATE _ <br />SAC CHARGE <br />SEWER UNIT`�� <br />PROPOSED USE <br />' <br />PARK FEE <br />_ <br />PENALTY <br />COUNCIL <br />APP. DATE <br />OTHER <br />n <br />TOTAL DUE <br />REQUIRED <br />ACKNOWLEDGEti:ENT <br />WORK REQUIRING <br />SEPARATE PERMITS <br />.. FOOTING before pour <br />THE UNDERSIGNED HEREBY REQUESTS PERMt8S10N TO MAKE <br />VINSP,ECTION <br />... FRAMING rough -in <br />PLUMBING <br />THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br />INSULATION <br />MECHANICAL <br />(� <br />UNDER PENALTY OF t eW ACKNOWLEDGEMENT AND ACCEPT - <br />WALLBOARD before ta; �np <br />FINAL Moore occupancy <br />WELL <br />ANTE OF ALL INFORMATION CONDITIONS AND REQUIRE <br />V. SITE NSPEr=TI,1N <br />SEPTIC . <br />MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER - <br />WORK BEYOND OR WITHOUT A RE- <br />SEWER <br />❑ <br />SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COW <br />OUIRED INSPECTION WILL BE SUB- <br />WATER <br />❑ <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />JECT TO PENALTY. <br />GRADING FELLING <br />� <br />❑ <br />OF MINNESOTA BUILDING CODE REOUIRFMENTS. <br />INSPECTIONS MUST BE CALLED -IN <br />24 HOURS IN ADVANCE <br />FIRE. <br />❑ <br />Signature Dote "� � Z �•� fr <br />COPY WHITE FILE GOLD RECEIPTflee i-i <br />GOLD RECEIPT <br />fta_t' <br />w _� � <br />IN -ASSESPECTOR <br />PINK-ASSESSOR <br />PINK•ASGo <br />J , <br />�w <br />Auwor u�J `� C <br />1- 41710414470 <br />1 <br />Ire.u,., r.y 4 sw re �K Is�n es+w7o <br />TC._ <br />