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CITY of OR()NO PERMIT NO <br />4501 <br />Building Permit <br />DATE ISSUED �— <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473.7357 / <br />ZONING DISTRICT SITE ADDRESS e "/', 0 �(� !�►��`(' d�P <br />/ Q _ / R LEGAL DESCRIPTION: PROP. Ili. % OCR �o <br />!�!` ,J LOT RI nrK I cllranlvlctna 7—'-- ,_4 W, � <br />LATE <br />DEPTH <br />PROPOSED SETBACKS <br />FRONT If R. IDE s <br />REGG RRC L.S_JDE <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />PR. EASEMENT <br />REMARKS <br />WNER _ <br />IN e) <br />(Address) (Phone) <br />C►�r* ea_ <br />ARCHITECT/ENGINEER - lost <br />Cer0y Multi -Family, Com ercia & Industrial Construction Plans <br />ERT.NO. <br />I irm' <br />(Address) <br />(Phone) <br />i �D0- <br />BUI ER <br />(Firm) <br />(Addt,:ss) <br />(Phone) <br />TYPE OF WORK New <br />Addition Remodel Renovate <br />T..TYPE <br />CONSL=L <br />BLDG. SIZE <br />EST. CONSST. VALUATION <br />L. <br />• OO <br />W Ht. <br />Q O 00o <br />RES)DENTIAL <br />STORIES B <br />1 2 3 <br />PERMIT FEES <br />BDRMS/FLR <br />BLDG. PERMIT 3 66 <br />D ELL. l <br />UNITS <br />STATE FEE UC) <br />PLAN REVIEW <br />GAR. STALLS <br />ATT <br />SEPTIC <br />APP. DATE <br />DET. <br />PENALTY <br />DOCK <br />- <br />PARK FEE <br />NON RESID <br />PROPOSED USE <br />SAC CHARGE �a�• G(D <br />OCC. <br />CLASS. <br />— — - --- -- <br />--�Q �) <br />STORIES <br />COUNCIL <br />APP DATE <br />TOTAL DUE <br />INSP[rTION REQUIRED <br />�� <br />FOOTING before pouf <br />-- FRAMING rough m <br />INSULATION <br />✓____ __ <br />_ WALLBOARD Before Taping <br />FIIIAL before occupancy <br />WORK BEYOND OR WITHOUT A RE <br />QUIRED INSPECTION WILL BE SUB <br />JECT TO PENALTY. <br />INSPECTION HOURS 473.7357 <br />CALL 8 - 12 A.M. INSP. 1 - 4 P.M. <br />CALL 1 4 P.M. INSP. NEXT DAY <br />M <br />WORK REQUIRING <br />SEPARATE PERMITS <br />'PLUMBING __ <br />MECHANICAL _ <br />4ELL <br />�EPT IC <br />SEWED. _ <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 C E REQUIREMENTS. <br />Sign Dat� <br />1 <br />Appr d City of Orono <br />