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CITY of ORO1TO <br /> Buildin Permit PERMIT NO. Jr�rIB � <br /> g <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED C�' Z-- � <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT SITEADDRESS � 1..�� C-� I���'1 C./ l�-�� �� � <br /> PROPERTY IDENTIFICATION NO.(PID) ,�CC�� ��c� '"c�� �J � 7 <br /> FIRE DEPARTMENT LOT BLOCK SU6DIVISION <br /> POST OFFICE OWNER �(Name) (Address) (Phone) <br /> �' r -�. Y�r.. .�c�r�n�e � 7� - %�� <br /> VAR. DATE ARCHIT T/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE / <br /> LOT AREA BUILDER (Firm) (Address) �� (Phone) <br /> �/ ��.��{�,yi <br /> WIDTH H ��C,�t�l.'�/1 ��;�U T'1✓�` �'��U ��, j �d'�'1 ���^, D!�� � �`/ � <br /> TYPE OF WORK New Addition Remodel Renovate <br /> PROPOSED S ` CKS: J� <br /> FRONT R. IDE ✓! �r �''�k' <br /> CONST.TYPE BUILDING SIZE Estimated Construction Valuation <br /> REAR IDE � <br /> LAKE � WETLANDS L. W. Ht. l � ��, �C) <br /> � OCCUPANCY PERMIT FEES <br /> ^.� CLASSIFICATION � ��U Q <br /> ACC SS, DWELL STORIES B 1 2 3 BLDG. PERMIT <br /> UNITS STATE FEE ` :��� <br /> NE EXISTING GAR.STALLS NUMBER OF BEDROOMS <br /> AGENCY-APPROV. DATE ATT. 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: � 1'� t�� � 1' �'G+ C�l.. --�-` � ✓ , �� <br /> c-�I ���v..�pC� , <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 ACKNOW�EDGEMENT AND ACCEPT- <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&FILLING ............... ❑ <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ 9 L��� Q ,yJ �� ,{/� r ��S <br /> , �j�,. <br /> Si nature � �j Date V� <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> �^ <br /> CANARY-INSPECTOR GOLD-RECEIPT � In �G C� � <br /> PWK-ASSESSOR Approved �� � City of Orono <br /> Brooklyn Prtg.&Adv.Co.Inc (612)567�470 � <br />