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CITY of ORONO _ _ <br /> Buildin Permit PERMIT NO. 6090 � <br /> g <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED ���� <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT SITEADDRESS _ )y�� �)l ✓1� L�GZ� Q <br /> PROPERTY IDENTIFICATION NO.(PID) �=�'�� 7�� � �.� ��C�� <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name) , (Address) (Phone) <br /> �L"`-�,LC�X� � / 7 � — �� <br /> VAR. DATE ARCHITECT/ENGINEER- Must Ce tify Multi-Family, Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. E <br /> LOT AR BUILDER (Firm) (Address) (Phone) <br /> WIDTH DEPTH J "� �� <br /> TYPE OF WORK Addition Remodel R novate <br /> PROP S TB <br /> FRONT I r <br /> CONST.TYPE BUILDING SIZE Estimated Construction Valuation <br /> REAR L. E <br /> L. W. Ht. <br /> �� sc�� � <br /> LAKE ETLANDS <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION �� S� <br /> ACCESS DWELL. STORIES g � 2 3 BLDG. PERMIT <br /> UNITS �7 <br /> STATE FEE i / S� <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: /"t <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> INSPECTION REQUIRED SEPARATE PERMITS <br /> ❑ . . . . . . FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> ❑ . . . . . . FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br /> ❑ . . . . . . INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF lAW ACKNOWLEDGEMENT AND ACCEPT- <br /> ❑ . WALLBOARD before taping ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE- <br /> . . . . . <br /> . WELL ............................... <br /> . . . . . . FINAL before occupancy <br /> . . . . . . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RE- SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> SEWER.............................. <br /> QUIRED INSPECTION WILL BE SUB- PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. WATER.............................. ❑ <br /> C�RADING&FILLING ............... ❑ <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> INSPECTIONS MUST BE CALLED-IN <br /> � .�L.� <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ _ <br /> Signature � L Date <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved - '��� City of Orono <br /> B�ooklyn Prtg.&Adv.Co.Ina (612)567-0470 � <br />