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CITYof ORO�O PERMIT N� 5410 � <br /> Building Permit - <br /> DATE ISSUED 7'�- �"� <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br /> P.O. BOX 66, CRYSI"AL BAY, MN 55323 473-7357 <br /> ZONINGDISTRICT SITEADDRESS .-� 3 `�`� �,L��yt,'c Nu�= <br /> LEGAL DESCRIPTION: PROP. ID. � 7 � � 7 � � �`-� CiCif r <br /> LOT BLOCK SUBDI VISION <br /> FIRE ZONE <br /> WNER (Name) (Address) (Phone) <br /> VAR. DATE ` � 't �� �(:C.9/�S <br /> ARCHITECT/E GINEER — Must Certify Multi-Family, Commercial & Industrial Construction Plans <br /> COND. USE DATE ERT.NO. <br /> �Firm) (Address) (Phone) <br /> LOT AREA <br /> WIDTH DEPTH BUILDER (Firm) (Address) (Phone) <br /> PROPOSED SETBACKS ��� �S7 =� �� ��d �= �'cI� ��� � ��� <br /> FRONT R.S D�/ TYPE OF WORK ev�i, Addition Remodel Renovate <br /> REAR L.SIp�f - - — <br /> , CONST. TYPE BLDG. SIZE EST.CONST. VALUATION <br /> LAKE WETLANDS �j) <br /> i-�J►f'+'�tr L. �� W.3� Ht. � , <br /> .��f � i.S <br /> ACCESS RESIDENTIA STORIES B 1 2 3 PERMIT FEES <br /> BLDG. PERMIT ,v <br /> NEW EXISTING DWELL. BDRMS/FLR <br /> AGENCY-APPROV. DATE uNITs STATE FEE J�-( . c�� <br /> CITY GAR.STALLS SEPTIC <br /> ATT. APP. DATE PLAN REVIEW ��. =C%'CY% <br /> COUNTY DET. � � PENALTY <br /> DOCK <br /> STATE <br /> NON-RESID. PROPOSED USE PARK FEE <br /> PR. EASEMENT OCC. <br /> SAC CHARGE <br /> C LASS. <br /> STORIES COUNCIL <br /> APP. DATE TOTAL DUE �_� L�, �(,'�, <br /> REMARKS: <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 /> 1� FINALbeforeoccupancy WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <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 BUILDING CODE REQUIREMENTS. <br /> CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State <br /> Signature %� (�(��z-�{—�-r��-+-'�- Date /"�' � <br /> COPY: WHITE—FILE GREEN—FINANCE <br /> CANARY—INSPECTOR GOLD—RECEIPT -f� f - ��, y'� <br /> PINK—ASSESSOR Approved —l ��"^� J��✓�' � �./. City of Orono <br />