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(:ITS' of ORON10 <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />NIRICT <br />1 T <br />E ART ENTT <br />FPOS <br />OFFICE <br />VAR. DATE <br />COND. USE <br />Q kTE <br />LOT AREA <br />WIDTH <br />DEPTH <br />PROPOSED <br />FRONT <br />ETBACKS <br />R SIDE <br />REAR <br />L. SIDE <br />LA E-N <br />WETLANDS <br />ACC SS <br />NE EXISTING <br />AGENC -A PROV. DATE <br />CITY <br />COUNTY <br />STATE <br />If <br />PRIVATE EASEMENT <br />REMARKS: <br />PERMIT NO. 6475 ' <br />DATE ISSUED'-) Ark P <br />SITE ADDRESS <br />PROPERTY IDENTIFICATION NO. (PID1 Ci <br />-'I <br />LOT BLOCK <br />_ SUBDIVISION <br />NER (Name) <br />(Address) <br />(Phone) <br />i btn <br />FARC <br />HIT T/ENGINEER - Must C rtify Multi -Family, Commercial & Industrial Construction Plans <br />(Firm) <br />(Address; <br />Phone) <br />BUILDER (Firm) ki <br />(Address) <br />(Phone) <br />' t( (0 <br />t1cIL <br />t)'DNoA« S.1 <br />s <br />TYPE OF FORK f.JNew) Addition <br />Remodel <br />Ren vale <br />T. TYPE BUILDING SIZE <br />L. tj ar W. Ht <br />OCCUPANCY <br />CLASSIFICATION <br />DWELL. STORIES B 1 2 i 3 <br />UNITS <br />GAR. STALLS NUMBER OF BEDROOMS <br />ATT- -4 <br />DET. SEPTIC <br />APP. DATE <br />PROPOSED USE <br />t <br />ILATE <br />Estated Construction Valuation <br />1S/)v(-� <br />PERMIT FEES <br />BLDG. PERMIT / D SZ) <br />STATE FEE <br />PLAN REVIEW <br />SAC CHARGE <br />SEWER UNIT <br />PARK FEE <br />PENALTY <br />OTHER <br />TOTAL DUE 3 <br />niDAM <br />e <br />INSPECTION REQUIRED <br />WORK n�OUIRING <br />- <br />ACKNOWLEDGEMENT <br />SEPARATE PERMITS <br />.....FOOTING before pour <br />C <br />THE UNDERSIGNED HEREBY REUUESTS PERMISSION TO MAKE <br />.... FRAMING rough -in <br />P�U 1 G <br />THE REA( IMPROVEMENTS SPECIFIED AND DECLARES <br />INSULATION <br />MECHANICAL <br />UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br />.... WALLBOARD before taping <br />WELL <br />ANCE OF ALL INFORMATION CONDITIONS AND REQUIRE- <br />......FINAL ^vlore occupancy <br />..... SITE INSPECTION <br />SEPTIC <br />MENTS REPRESENTED ON THIS DOCUMENT THE UNDER. <br />WORK BEYOND OR WITHOUT A RE- <br />SEWER <br />SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br />QUIRED INSPECTION WILL BE SUB- <br />WATER <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />JECT TO PENALTY <br />INSPECTIONS MUST BE CALLED -IN <br />GRADING FILLING <br />b <br />OF MINNESO A BUILDING CODE REQUIREMENTS <br />r <br />24 HOURS IN ADVANCE <br />FIRE <br />-1 <br />S gnatum r Date <br />COPY WHITE FILE GREEN -FINANCE <br />CANARYINSPECTOR GOLD <br />PINK ASSESSOR <br />RECEIPT <br />/ I <br />Approved / % CILG Iy of Orono <br />M �"n M"s a 16171561 M70 <br />