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CITYof Oii()N() PERMIT N�' r 555'7 � <br /> Building Permit - <br /> DATE ISSUED v?'o���' c�� <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br /> P.O. BOX 66, CRYSI"AL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT SITE ADDRESS ���gs I <br /> LEGAL DESCRIPTION: PROP. ID. ,�— ��—�-� � O�l J <br /> LOT BLOCK SUBDIVISION <br /> FIRE ZONE <br /> WNER (Name) (Address) (Phone) <br /> VAR. DATE ^� .� � _ i �� � r <br /> ARCHITECT/ENGINEER — Must Certify Multi-Family, Commercial & Industrial Construction Plans � <br /> COND. US DATE ERT.NO. <br /> (Firm) (Address) (Phone) <br /> LOT AREA <br /> WIDTH EPTH BUILDER (Firm) (Address) (Phone) <br /> � � � `� �`�Sl� � r,' � �' <br /> PROPOSE S TBACK� <br /> FRONT R.SI E TYPE OF WORK New Addition Remodel novate <br /> REAR I ? <br /> CONST. TYPE BLDG. SIZE EST. CONST. VALUATION <br /> LAKE TLANDS V � <br /> L. W. Ht. � � <br /> ACCESS RES�DENTIA STORIES B 1 2 3 PERMIT FEES <br /> BLDG. PERMIT �, �(_� <br /> NEW EXISTING DWELL. BDRMS/FLR <br /> AGENCY-APPROV. DATE uNlrs STATE FEE �� <br /> , <br /> CITY GAR. STALLS SEPTIC PLAN REVIEW <br /> ATT. APP. DATE <br /> COUNTY �ET. 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 ��, �j �� <br /> REMARKS: <br /> INSPECTION REQUIRED WORK REQUIRING ACKNnWLEDGEMENT <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 occ upancy — <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 AGREES TO 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 E�ECTRICAL from State <br /> Signature .,_`�. �'Q.�„� Date �� ���"��fj. <br /> COPY: WHITE—FILE GREEN—FINANCE <br /> CANARY—INSPECTOR GOLD—RECEIPT �g <br /> PINK—ASSESSOR Approved Q C% � i of Orono <br />