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CIT�'of ORONO <br /> Bu�lding Permit PERM��c��. s�o3 � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE�ED �� ��1 <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT � �� -� <br /> SITE ADDRESS <br /> PROPERTY IDENTIFICATION NO.(PID) � " — � � -� � <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name) (A dress) (Phone) <br /> ✓-`_�'� C '� � <br /> VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family, ommercial Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. U E TE <br /> LOT AR BUILDER (Firm) (Address) (Phone) <br /> WIDT DEPTH �' � ��� � �� �L'I <br /> � TYPE OF WORK New Addition model R <br /> C�—t c �� .� .C�i, <br /> PRO E S C � � ' <br /> FRO T E . c�/ / � � <br /> , <br /> CONST.TYPE BUILDING SI Estimated Construction Valuation <br /> RE L. SIDE <br /> L. W. Ht. <br /> D � �, C> <br /> LAKE WETLANDS <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION T <br /> ACCESS DWELL. BLDG. PERMIT �/ � �"s <br /> STORIES B 1 2 3 � ` ,� _._ <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 �� . � <br /> REMARKS: <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> INSPECTION REQUIRED SEPARATE PERMITS <br /> ❑ . . . . . . FOOT�NG before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> . . . . . . 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 A�L 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- � PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. WATER.............................. <br /> OF MIN ESOTA BUILDING CODE REQUIREMENTS. <br /> GRADING&FILLING ............... ❑ � . <br /> INSPECTIONS MUST BE CALLED-IN <br /> , � <br /> ; . <br /> 24 HOURS IN AOVANCE. FIRE................................. ❑ • �j � � �i t <br /> Signature �'�����" Date ' S ~ � <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-WSPECTOR GOLD-RECEIPT �_^. //�/� � '7`/�` <br /> PINK-ASSESSOR Approved "�- l $ity of Orono <br /> Brooklyn Prtg.&Ativ.Co.Inc. (612)561�470 <br />