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CITY of ORO)NO PERMIT 5012� <br />Building Permit DATE ISSUED <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 r <br />ZONING DISTRICT SITE ADDRESS % ZS- ��' 4-E�N li- <br />LEGAL DESCRIPTION: PROP. ID. 2 / Z- 000 Z_ <br />I nT RI nCK SUBDIVISION <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />FRONT R.SIDE <br />1 <br />REAR L.SIDE <br />101 <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />COUNTY <br />EASEMENT <br />REMA,.KS: <br />(Name) <br />(Address) <br />(Phone) <br />F <br />C , <br />L ., A ,K-e_ <br />.3 7 CC/ <br />ENGINEER — Must Certify Multi -Family, Commercial & Industrial <br />Construction Plans <br />--- <br />(Firm) <br />— ---- <br />(Address) <br />(Phone) <br />BUILDER <br />(Firm) <br />(Address) <br />(Phone) <br />rI , <br />-, <br />T� �+ Nr "� w �S • <br />; ��os r� Kc AfikA <br />.53 <br />827 z- <br />TYPE OF WORK New <br />Addition Remodel <br />Renovate <br />/ <br />CONST TYPE <br />BLDG SIZE <br />EST. CONoST VALUATION <br />L. <br />W. <br />RLSIDENTIAL <br />STORIES 8 <br />1 z s <br />PERMIT FEES <br />BDRMS/FLR <br />BLDG. PERMIT <br />1 2R, , SC <br />o0 <br />DW-t-L. <br />UNITS <br />STATE FEE <br />PLAN REVIEW <br />(,AR STALI.S <br />SEPTIC <br />ATT. <br />APP DATE <br />DET. <br />PENALTY <br />DOCK <br />PARK FEE <br />NON RESID <br />PROPOSED USE <br />SAC CHARGE <br />OCC. <br />CLASS. <br />STORIES <br />COUNCIL <br />TOTAL DUE <br />13 7- <br />APP DATE <br />INSPECTION REQUIRED <br />FOOTING before pouf <br />FRAMING rough in <br />_ INSUt.ATION <br />WALLBOARD Before raping <br />FINAL before occupancy <br />WORK BEYOND OR WITHOUT A RE <br />OUIRED INSPECTION WILL BE SUB- <br />JECT TO PENALTY <br />IN"PECTION HOURS 413-7357 <br />CAL L 8 12 A M 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 />SEPTIC <br />SEWER — --- _ <br />WATER - --- <br />GRADING & FILLING <br />ELECTRICAL from State <br />COPY WHITE FILE GREEN FINANCE <br />CANARYINSPECTORGOLD 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 REPRESFNTED ON THI: DOCUMENT. THE UNDER- <br />SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCFS ANrt STATE <br />OF MINNESOTTA BUILDING CODE <br />REQUIREMENTS. <br />/I-A�- ��iCZ�JIi (Y't. Date, <br />5 <br />Approved City of Orono <br />