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CITY of ORO�O <br /> Buildin Permit PERMIT NO. 6050 � <br /> g � �, <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY �ATE ISSUE� � � f� <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT "' `� ,L , � � , <br /> SITE ADDRESS � � :r I <br /> PROPERTY IDENTIFICATION NO.(PID) � � �� � <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name) � � : (Address) . (Phone) <br /> � .—�y� -, ,-- ;.— ,r-� <br /> -> <br /> � ��1:� L-i,��� �� l_ —t �� '� � ��� � - � �� - <br /> VAR. DATE ARCHITECT/ENGINEER- Must Certif Multi-Fa <br /> y y,Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LO AR A BUILDER (Firm) (Address) ,�7 r �, (Phone) <br /> � i � <br /> 1 / � l � i��../ � F�.``',. <br /> 4 <br /> WI�T � DEPTH � 1 t' i �i;-��:'� � %IC� �. � ���� ��%��_�:a.�r�.� � h�- _. <br /> TYPE OF� ORK New Addition Remodel \enovate �' <br /> 1 �-�C_ <br /> PR P ED SETBA� ,�� . <br /> FRO T . SI /��-� '''� / ,-�— <br /> REA SI E CONST.TYPE BUILDING SIZE Esti ated Construction Valuation <br /> .� <br /> r L. W. Ht. --� ��� ) �>>_ <br /> LAKE ETLANDS <br /> OCCUPANCY PERMIT FEE <br /> CLASSIFICATION � �C C'� <br /> ACCESS DWELL STORIES g � 2 3 BLDG. PERMIT � ' � � <br /> UNITS STATE FEE �� � /`� <br /> NEW EXISTING GAR.STALLS NUMBER OF BEDROOMS <br /> AGENCY-APPROV. DATE q� PLAN REVIEW <br /> CITY DET. SEPTIC <br /> APP. DATE SAC CHARGE <br /> COUNTY PROPOSED USE SEWER UNIT <br /> STATE PARK FEE <br /> PENALTY <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER <br /> TOTAL DUE / �, � <br /> REMARKS: L <br /> INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT <br /> SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> ❑ . . . . . . FOOTING before pour <br /> ❑ . . . . . . FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DEC�ARES <br /> ❑ . . . . . . INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> •. . . . . . <br /> WALLBOARD before taping ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE- <br /> WELL ............................... <br /> . . . . . . FINAL before occupancy <br /> ❑ . . . . . . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RE- SEWER.............................. � SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> QUIRED INSPECTION WILL BE SUB- PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. WATER.............................. <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> GRADING 8 FILLING ............... ❑ <br /> INSPECTIONS MUST BE CALLED-IN -. , , i <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ � / ��,�y, <br /> Signatur -: <br /> / '"������1l� � Date / ' � ��s <br /> COPY:WHITE-FILE GREEN-FINANCE ` <br /> CANARY-INSPECTOR GOLD-RECEIPT /�._ ` �� '7`� 1 <br /> PINK-ASSESSOR Approved` " G� City of Orono <br /> Brooklyn Prtg.&Adv.Co.Inc (6721 561-4470 — <br />