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CITY of ORO�O _ _ <br /> Building Permit PERMIT NO. 64H� � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED ���'� <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT �j [ � l � <br /> SITE ADDRESS �/��_,l ��f�� �� I�d�� /---/'�.} . <br /> PROPERTY IDENTIFICATION NO.(PID) �� ' I�%f � � C�/�-�( / <br /> FIRE DEPARTMENT LOT BLOCK SU6DIVISION <br /> POST OFFICE OWN R (Name) (Address) (Phone) <br /> _ ��-� r� ';��� � -- _� �� <br /> VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family, Commercial& Industria Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> � <br /> WIDTH DEPTH � ��"��� ��� <br /> TYPE OF WORK New Addition Remodel ,-.Renovate <br /> � �� <br /> PROP S D SETBAC � _ � _� � <br /> FRON I R. S�' - I��E% -�'�l_��L„ � i.. <br /> � CONST.TYPE BUILDING SIZE <br /> REA L. E Estima ruction Valuation <br /> LAKE ETLANDS L. W. Ht � � �� �% - ��� <br /> OCCUPANCY PERMIT FEES <br /> CLASSI FICATION � <br /> BLDG. PERMIT ,��L�' Y �� � <br /> ACCESS DWELL. STORIES B 1 2 3 �—yj <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 /> INSPECTION 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 /> . . . . . <br /> ❑ FINAL before occupancy WELL ............................... <br /> . . . <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 MINNESOTA ILDING CODE REQUIREMENTS. <br /> GRADING&FILLING ............... ❑ � <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ � `� y� a <br /> Signature -- Date r <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT . i <br /> PINK-ASSESSOR Approved �� " -�'�� <br /> rono <br /> Brooktyn Prt9.&Adv.Co.Inc. 1612)561-0470 <br />