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CI 1 Y o ORONO� PERMIT Nn _ 47701 <br />Building Permit DATE ISSUED �) M - <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357Q7 / <br />ZONI G ISTR! T SITE ADDRESS v /\� D�P LQr�- <br />�_ LEGAL DESCRIPTION: PROP. ID. L d <br />/ LOT BLOCK _ SUBDIVISION <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />WIDTH DEPTH <br />PROPOSED SETBACKS <br />F R2I) / R. / <br />REAR L.SIDE <br />LAKE WETLANDS <br />D <br />ACCESS <br />NE EXISTING <br />AGENCY-APPROV. DATE <br />CI <br />COUNTY <br />STATE <br />PR. EASEMENT <br />REMARKS <br />R <br />IN e) <br />(Address) (Phone) <br />V <br />AdVdlif <br />ITECT/ENGINEER <br />ust Certify Multi Family, Commercial &Industrial Construction Plans <br />ERT.NO. <br />(Firm) <br />(Address) (Phone) <br />BUILDER <br />(Firm) <br />�. <br />(Address) (Phone) <br />TYPE &F WORK New , <br />10- <br />Addition Remodel Renovate <br />CONi$1 TYPE <br />BLDG. SIZE <br />EST CONST. VALUATION <br />(///W//�11[[�i <br />/ <br />/ / <br />�O <br />I <br />L. W. <br />J Ht./D <br />RESIDEN <br />STORIES B 1 <br />2 3 <br />PERMIT FEES <br />BDRMS/FLR <br />BLDG. PERMIT <br />C�Ci <br />_ <br />DWELL <br />uNl rs <br />STATE FEE <br />PLAN REVIEW <br />d <br />C�gSTALLS <br />TT <br />SEPTIC <br />APP. DATE <br />D E T <br />3 <br />.Fyiflsf,'TX L <br />S <br />DOCK <br />PARK FEE <br />NON RESID. <br />PROPOSED USE <br />SAC CHARGF- <br />O fJ <br />OCC. <br />CLASS. <br />STORIES <br />COUNCIL <br />Q <br />APP DATE <br />TOTAL DUE <br />INSPIECSION REQUIRED <br />FOOTING before pour <br />FRAMING rough in <br />INSULATION <br />_Je�'_ WALLBOARD Before Taping <br />FINAL 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 />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING �___..._ <br />MECHANICAL fc__ ___ <br />WELL S .. <br />SEPTIC <br />SEWER <br />WATER <br />GRADING & FILLING <br />ELECTRICAL from State <br />COPY WHITE FILE GHEE_N 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 UNU'ER <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 REQUIREMENTS. <br />Sign Date <br />rove ` '� City of Orono <br />