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CITY Ol 0��11��� PERMIT � <br /> Buildin P rm� N� �. 5424 ! <br /> g e it �-//_�� <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED <br /> P.O. BOX 66, CRYSI-AL BAY, MN 55323 473-7357 , EXPIRES <br /> ZONING DISTRICT SITE ADDRESS 7" � C , la �-, <br /> LEGAL DESCRIPTION: PROP. ID. l — "— �Z� � <br /> LOT BLOCK SUBDIVISION <br /> FIRE ZONE <br /> WN R (Name) (Address) (Phone) <br /> VAR. DATE �7-G� <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 BUI,k�DER (Firm) (Address) (Phone) <br /> �/ . <br /> PR POSE S TBACKS <br /> F NT �.SIDE TYPE OF WORK New Addition Remodel enovate <br /> R A LS I D E `/, '�' �1 L�LL_TZ CSY� /`�-�'"`"'� <br /> CONST. TYPE BLDG.SIZE EST. CC�NtST. VALUATION <br /> LA E S ��s <br /> �. W. Ht. J� �� C� <br /> A C RESIDENTIA STORIES B 1 2 3 PERMIT FEES <br /> BLDG. PERMIT � �� <br /> NEW EXISTING DWELL. BDRMS/FLR <br /> AGENCY-APPROV. DATE uNiTs STATE FEE � . �� <br /> CITY GAR.STALLS SEPTIC <br /> ATT. APP. DATE PLAN REVIEW <br /> COUNTY oET. PENALTY <br /> DOCK <br /> STATE <br /> NON-RESID. PROPOSED USE PARK FEE <br /> PR. EASEMENT oCC. SAC CHARGE <br /> C LASS. <br /> STORIES COUNCIL �� S_� <br /> APP. DATE TOTAL DU <br /> REMARKS: <br /> INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT <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 occupancy -- <br /> SEPTIC <br /> - MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER— <br /> WORK BEYOND OR WITHOUT A RE- SEWER <br /> QUIRED INSPECTION WILL BE SUB- SIGNED FURTHER AGREESTO DO ALL WORKS IN STRICT COM- <br /> WATER <br /> JECT TO PENALTY. PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> GRADING& FILLING <br /> INSPECTION HOURS 473-7357 OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> CALL 8 - 12 A.M. INSP. 1 -4 P.M. <br /> CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State , <br /> Signature �-� �L Date <br /> PY: WHITE—FILE GREEN—FINANCE /� <br /> CANARY—INSPECTOR GOLD—RECEIPT G��'!/`� ( <br /> PINK—ASSESSOR Approved City of Orono <br />