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CITY of OKONO _ _ _ <br /> Buildin Permit PERMIT NO. 64�3 � <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 3 � � <br /> SITE ADDRESS ° <br /> PROPERTY IDENTIFICATION NO.(PID) I 7� ' � OI� <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE O NER (Name� (Address) (Phone) <br /> (-� � / �,� / � <br /> VAR. DATE ARCHITECT/E GINEER- M Certify Multi-Family,Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. U DATE � <br /> LO AR BUILDER (Firm) (Address) (Phone) <br /> WI H EPTH ' `"' / ,� <br /> ^� T E OF WORK New A ition Remodel Renovate <br /> PROP SE ETBACKS: `�t / ��/' <br /> FRON R. SIDE �C-�� �' � � W G � � <br /> CO ST.TYPE BUILD NG SIZE Estimate Construction Val ation <br /> REAR L. SIDE <br /> L. W. Ht - �L'C-� <br /> LAKE WETLANDS <br /> OCCUPANCY PERMIT FEE <br /> CLASSIFICATION �� ' �y� <br /> ACCESS DWELL STORIES g � 2 3 BLDG. PERMIT `_ C� _ <br /> UNITS STATE FEE ' � <br /> NEW EXISTING GAR.STALLS NUMBER OF BEDROOMS <br /> AGENCY-APPROV. DATE ATT. PLAN REVIEW <br /> CITY DET. SEPTIC SAC CHARGE <br /> APP. DATE <br /> COUNTY PROPOSED USE SEWER UNIT <br /> STATE PARK FEE <br /> PENALTY <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER <br /> TOTALDUE <br /> REMARKS: <br /> ���• ! � <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 DECLARES <br /> ❑ . . . . . . INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWL.EDGEMENT AND ACCEPT- <br /> . . . . . WALL60ARD before taping ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> WELL ............................... ❑ <br /> . . . . . . FINAL before occupancy <br /> ❑ . . . . . . SITE INSPECTION MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> SE PTIC............................. <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 /> GRADING&FILLING ............... ❑ <br /> INSPECTIONS MUST BE CALLED-IN / "' <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ :_._--J� 7�� f77 <br /> Signature �= - Date l 0 � <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved � of Orono <br /> Brooklyn Prtg.&Adv.Co.Ina (612)561-4470 <br />