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C I TY of OK()NO _ _ _ <br /> Building Permit PERMIT NO. 6399 � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED (o ��6 / <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT � �!/� � <br /> SITE ADDRESS <br /> PROPERTY IDENTIFICATION NO.(PID) —I . � � � <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (N ) ' (Address) (Phone) <br /> .� �/_ ���- <br /> VAR. DATE ARCHITECT/ENGINEER- st Certify Multi-Family,Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> WiDTH DEPTH � � �`— <br /> TYPE OF WORK New Addition Remodel enovate '' <br /> PROPOSED SETBACKS: j - <br /> FRONT R. SIDE � � S � '�� - �� <br /> CONST.TYPE BUILDING SIZE Esti ated Construction Valuation <br /> REAR L. SIDE <br /> L. W. Ht. � �. �� 'R <br /> LAKE WETLANDS <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION `� � <br /> ACCESS DWELL STORIES g � 2 3 BLDG. PERMIT v" `�" �-� <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 /> TOTAL DUE �/l, tl � <br /> REMARKS: 4?l% <br /> INS ECTION 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 ACKNOWLEDGEMENT AND ACCEPT- <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. THE 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- y�ATER.............................. � PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. <br /> OF MINNESOTA BUILD ODE REQUIREMENTS. <br /> GRADING&FILLING ............... ❑ <br /> INSPECTIONS MUST BE CALLED-IN , <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ . /' <br /> Signature � /�' Date <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT ��1 <br /> PINK-ASSESSOR Approved �Cityof Orono <br /> Brooklyn Prtg.&Adv.Co.Inc. (672)561-0470 <br />