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CITY of ORt )NO <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT <br />FIRE DEPARTMENT <br />POST OFFICE <br />VAR DATE <br />COND. ' ISE DATE <br />I OT AREA <br />4VIDTH DEPTH <br />PROPOSED SETB..CKS: <br />FRONT R. SIDE <br />REAR L SIDE <br />LAKE WETL <br />ACCES <br />NEW c (STING <br />AGENCY -AP V DATE <br />CITY <br />CCUNTY <br />STATE <br />PRIVATE EASEMENT COUNCIL <br />_ <br />',PP. DATE S <br />REMARKS 1�)LA_ f1d C--1'OY1 <br />po 1 dress� (Phone) <br />04-03S 7 <br />Addition Remodel Renovate <br />pr i oCi / '54 rLk C t re - <br />Estimated Construction Valuation <br />FI <br />OCCUPANCY PERMIT FEES <br />CLASSIFICATIONj('� <br />DWELL STORIES R 2 3 BLDG. PERMII <br />UNITS STATE FEE <br />GAR STALLS NUMBER OF BEDROOMS <br />ATT PLAN REVIEW _ <br />DET SEPTIC <br />APP. DATE <br />PROPOSED USE <br />SITE ADDRESS / / '-.Of.J <br />PROPERTY IDENTIFICATION NO. (PID) <br />LOT BLOCK <br />OW R . , (Name) <br />ARCHITECT/ENGINEER - <br />IFcm) <br />BUILDER (Firm) <br />.J a 5-e -4-�� n, <br />TYPE OF WORK _ New <br />PERMIT NO. 6405, <br />DATE ISSUED <br />d. <br />SUBnIVISiON <br />A — (Address) (Phone) <br />4 <br />Certify Multi -Family Commercial & Industrial Construction Plans <br />(Address) (Phone) <br />NS' 'I1PE PUILDING � <br />L W <br />INSPECTION REQUIRED <br />WORK REQUIRING <br />SEPARATE PERMITS <br />❑ ...... FOOTING before pour <br />❑ ...... FRAMING fc gh-in <br />PLUMBING <br />Lj ...... INSULATION <br />MECHANICAt <br />El .... WALLBOARD before taping <br />WELL <br />..... FINAL before occupan-y <br />...... SITE INSPECTION <br />SEPTIC <br />WORK BEYOND OR WITHOUT A RE- <br />SEWER <br />QUIRED INSPECTION WILL Rc SUB- <br />WATER <br />JECT TO PENALTY. <br />GRADING 6 FILLING <br />INSPECTIONS MUST 3E CALLED -IN <br />24 HOURS IN ADVANCE <br />FIRE- <br />CUPY WHITE -FILE GREEN -FINANCE <br />CANARY -INSPECTOR GOLD -RECEIPT <br />PINK -ASSESSOR <br />MaMIM ►n�. aAd. fY NK Ia1a M1MI0 <br />SAC CHARGE <br />SEWER UNIT <br />PARK FEE <br />PENALTY <br />EIS. i� I I III OTHER _ -- - - <br />n 70 DUE 3(j <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />U THE REAL IMPROVEMENTS SPECIFIED AND DECLARES <br />❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND AUCEPT- <br />❑ ANCE OF ALL INFORMlTION CONDITIONS AND REQUIRE- <br />C] MENTS REPRESENTED ON THIS DOCUMENT THS UNDER- <br />SIGNED FURTHER AGREES TO DO ALL WOPK IN STRICT COM- <br />PLIANCE WITH ALL CITY OF OROVO ORDINANCES AND STATE <br />❑ OF MINNE TA UILDI CODE RECUIREMENTS <br />❑ C <br />Signature Data <br />�*MM <br />