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CITY OI 0����N�� PERMIT Nn � 5406 I <br /> Building Permit �� ,_�� <br /> DATE ISSUED <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br /> P.O. BOX 66, CRYSI"AL BAY, MN 55323 473-7357 . <br /> ZONING DISTRICT <br /> SITE ADDRESS � , -G�" ���Q �, <br /> LEGAL DESCR IPTION: PROP. ID. � � r � � <br /> LOT BLOCK SUBDIVISiON <br /> FIRE ZONE <br /> W R (N ► (Address) (Phone) <br /> VAR. DATE i L <br /> ARCHITECT/ENGINEER — Must Certify Multi-Family, Commercial & Industrial Construction Plans <br /> COND. USE DATE ERT.NO. <br /> (Firm) (Address) (Phone) <br /> LOT AREA <br /> WIDTH DEPTH B�L ,ER , (Firm) (Addressl�(jL/Y/S/�/ ��E, (Phone) <br /> f'�✓ r�% 903 i� � � �� - � � <br /> PROPOSEDSETBACKS <br /> FRO �,� � R.SID�� � TYPE OF WORK New Addition Remodel Renovate <br /> REAR.�� LSIDE �� <br /> _—_ CONST. TYPE BLDG.SIZE EST CONST. VALUATION <br /> LAKE WETLANDS <br /> L W. H t. ��� � � .. �� <br /> C�� <br /> ACCESS RESIDENTIA STORIES B 1 2 3 PERMIT FEE <br /> BLDG. PERMIT �. �� <br /> NEW EXISTING DWELL. BDRMS/FLR �7� <br /> AGENCY-APPROV. DATE uNn-s STATE FEE S c_-'l,' <br /> CITY GAR.STALLS SEPTIC <br /> ATT. APP. DATE PLAN REVIEW <br /> COUNTY oET. PENALTY <br /> DOCK <br /> STATE NON-RESID. PROPOSED USE PARK FEE <br /> PR. EASEMENT oCc. SAC CHARGE <br /> C LASS. <br /> STORIES COUNCIL "� <br /> APP. DATE TOTAL DUE S ' `-� �l <br /> REMARKS: iu�� <br /> INSPECTION REQUIRED WORK REQUIRING ACKNQWLEDGEMENT <br /> �FOOTING before pour SEPARATE PERMITS <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> FRAMING rough-in <br /> �INSULATION PLUMBING THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES <br /> WALLBOARD Before Taping MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> F I NA L before occ upancy <br /> SEPTIC MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER— <br /> WORK BEYOND OR WITHOUT A RE- SEWER <br /> QUIRED INSPECTION WILL BE SUB- SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br /> WATER <br /> JECT TO PENALTY. PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> INSPECTION HOURS 473-7357 GRADING& FILLING <br /> CALL 8- 12 A.M. INSP. 1 -4 P.M. <br /> OF MINNESOTA BUI�DING CODE REQUIREMENTS. <br /> CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State -� , <br /> r <br /> Signature I � �Y�� Date <br /> COPY: WHITE—FILE GREEN—FINANCE � <br /> CANARY—INSPECTOR GOLD—RECEIPT ��f� <br /> PINK—ASSESSOR Approve �`� �� C ty of Orono <br />