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lJ���' �� O� `�1��� PE RMIT _N� � 513'7 <br /> � <br /> Building Permit � -�, ) <br /> DATE ISSUED Q '� � J <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 , , � <br /> ZONING DIST SITE ADDRESS C�.!''� . <br /> LEGAL DESCRIPTION: PROP. ID. I "� , � �a. � � <br /> LOT BLOCK SUBDIVISION <br /> FIRE ZONE <br /> WNER., (Namel / (Address) ���1/�i1(�Q,� �Phone) <br /> Gn� � � �. � <br /> VAR. DATE j � <br /> ARCHITE /ENGINEER — Must Certify Multi- amily, Commercial & Industrial Construction Plans <br /> COND. USE DATE ERT.NO. <br /> (Firm) (Address) (Phone) <br /> LOT AREA <br /> WIDT � DEPTH BUILDER (Firm) (Address) �'���� (Phone) <br /> 7 � <br /> PRO 0 E SETBACKS � <br /> FRO T R.SIDE TYPE OF WORK New Addition Remodel enovat <br /> REAR <br /> CONST. TYPE BLDG. SIZE EST. CONST. VALUATION <br /> LA ET NDS r,�� <br /> L. W. Ht. `�� <br /> AC SS 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 �ET. PENALTY <br /> DOCK <br /> STATE <br /> NON-RESID. PROPOSED USE PARK FEE <br /> PR. EASEMENT oCC. SAC CHARGE <br /> C LASS. <br /> STORIES COUNCIL <br /> APP. DATE TOTAL DUE � �� <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 Tapin9 MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> FINAL 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 AGREES TO DO ALL WORKS IN STRICT COM- <br /> WATER <br /> JECT TO PENALTY. PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> INSPECTION HOURS 473-7357 GRADING& FILLING _ <br /> CALL 8- 12 A.M. INSP. 1 -4 P.M. <br /> OF MINN I DI G CODE REQUI EMENTS. <br /> CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State � <br /> Signatur Date <br /> COPY: WHITE—FILE GREEN—FINANCE / <br /> CANARY—INSPECTOR GOLD—RECEIPT l�` <br /> PINK—ASSESSOR Approve City of Orono <br />