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CITY Oi ORONO PERMIT M 54671 <br />Building Permit1D - <br />DATE ISSUED <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES . <br />P.O. BOX 66, CRYSTAL BAY, MN 5532: 473-7357 <br />ZONING DISTRICT SITE ADL RESS / 9 Z2 .1-_✓t <br />/ C LEGAL <br />L <br />A DESCRIPTION: PROP. ID.���-7 <br />f� LOT BLOCK SUBDIVISION <br />FIRE ZONE - <br />hCOARPATE <br />USE DATE _ <br />LOT AREA 3";2 <br />WIDTH DEPNn <br />PROPOSED SETBACKS <br />FRONT R.SIDE/5 <br />REAR L. ID O <br />LAKE WETLANDS <br />ACCESS <br />NEW XIST NG <br />AGENCY-APP TE <br />CITY <br />COUNTY <br />STATE — <br />PR. EASEMENT <br />REMARKS: <br />WNER (Name) (Address) (Phone) <br />/ 0- S <br />P1 � <br />ARCHITECT/CNGGIINEEEI�R - Must Certify Multi. Family, Commercial Industrial Construction Plans <br />(Firm) (Address) <br />(Phone) <br />t. <br />c.JOnS" (�C� 7ru J­ <br />BUILDER (Firm) (Address) <br />(Phone) <br />TYPE OF WORK a Addition Remodel Renovate <br />� 7 <br />CONST TYPE! <br />BLD,, S17E <br />ST VALUATION <br />C� -v ,,v - z,, <br />6) 00 <br />L <br />TBLDG <br />RESIDENTIALSTOHItS <br />B <br />PERMIT FEES <br />y03, � <br />BDRMS!FLR <br />PERMIT <br />DWELL <br />UNITS <br />SEPTIC „ <br />STATE FEE <br />PLAN REVIEW � D <br />CAR STALLS <br />ATT <br />APP DATE <br />DET <br />-- --_- <br />PENALTY <br />DOCK <br />PARK FEE <br />NON I ESID <br />PROPOSED USE <br />SAC CHARGE <br />--- <br />OCC <br />CLASS <br />— <br />9, 1 <br />STORIES <br />COUNCIL <br />APP DATE <br />TOTAL DUE <br />INSPECTION RECUIRED <br />.. 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 FENALTY <br />INSPECTION HOURS 473 7357 <br />CALL 12AM 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 />--- <br />SEPT IC _ <br />SEWER — <br />WATER <br />GRADING & FILLING -- <br />ELECTRICAL from State <br />m fV x-G r, 0f_-' iAJCk. l <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 0 -=S TO DO ALL WORKS IN STRICT COM- <br />PLIANCE WITH ALL . jF ORONO ORDINANCES AND STATE <br />OF MINNESOTA 8U1-_ , CODE REQUIREMENTS. <br />i <br />Signatur Date/ �d <br />COPY WHITE- FILE <br />CANARY INSPECTOR <br />PINK -ASFESSOH <br />GREEN -FINANCE <br />GOLD RECEIPT <br />Approved <br />!:!�YrL/_)C-ty or Orono <br />