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CITY of ORO�TO <br /> Building Permit PERMIT NO. 644� � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED , .�� ���� <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT SITE ADDRESS <� I �^� 1 ! -�- l� ��' L�� -- <br /> PROPERTY IDENTIFICATION NO.(PID) l ' I� C � �I C� � <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name� (Address) (Phone) <br /> J �l'`=' � �C� � � ���L �� � — �� �:�..) <br /> VAR. DATE ARCHITECT/ENGINEER- Must Certify Mult-Family, Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND,USE DATE <br /> T EA BUILDER (Firm) (Address) (Phone) <br /> WIDT,H ' � E H <br /> ' TYPE OF WORK ew Addition Remodel Renovate <br /> PRO OS BACKS: `--'/ �� � --- <br /> FRO T R. SIDE ; li(/r7�C.K�'d � ��� � <br /> CONST.TYPE BUILDING SIZE Estimated Construction Valuation <br /> REAR L. SIDE <br /> L. W. Ht. / /��: <br /> LAKE WETLANDS ''� <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION �� �/� � <br /> ACCESS DWELL. STORIES g 1 2 3 BLDG. PERMIT �--��-" � `-' � <br /> UNITS STATE FEE � � <br /> NEW 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 /> REMARKS: I �l�,� ���� ��C.� \�` � � I -, "��CJ(_,�� �.S TOTAL DUE '� �� � <br /> , � � �� 1 4 � <br /> ' ` � � <br /> 3 C c_��.% , _ �_ c� r1.. <br /> INS ECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT <br /> � SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> . . FOOTING before pour <br /> �C� . . . . . . FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <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. TNE 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- P�IANCE wITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. WATER............. ❑ <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> INSPECTIONS MUST BE CALLED-IN GRADING 8 FILLING ............... ❑ <br /> ' �' <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ /�' /�,� j G � <br /> Signatur¢' �� t � Date� <br /> COPY:WHITE-FILE GREEN-FINANCE � <br /> CANARY-INSPECTOR GOLD-RECEIPT —y—� <br /> PINK-ASSESSOR Approved �� �City�Orono <br /> Brooklyn Prtg.&Adv.Co.Inc. (612)561-0470 <br />