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CITY of ORONO PERMIT N° _� 5446 I <br /> Building Permit �c���� � <br /> DATE ISSUED <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br /> P.O. BOX 66, CRYSI"AL BAY, MN 55323 473-7357 � � Q�� <br /> ZONING DISTRICT SITE ADDRESS <br /> LEGAL DESCRIPTION: PROP. ID. g'�� — <br /> LOT BLOCK SUBDIVISION <br /> FIRE ZONE <br /> N R a e) (Address) (Phone) <br /> VAR. DATE <br /> ARCHITECT/ENGINEER — Must Certify Multi-Family, Commercial & Industrial Construction Plans <br /> COND. USE DATE ERT.NO. <br /> (Firm) (Address) (Phone) <br /> LOT AREA <br /> WIDTH DEPTH B I DER (F'rm) (Address) � (Phone) <br /> PRO OSED SET C ^ �' / `�� �S�'!�� <br /> FRO T R. DE TYPE OF WO New Addition Remodel enovate <br /> RE .SIDE <br /> CONST.TYPE BLDG.SIZE EST.�ST.VALUATION <br /> LA E WETLA <br /> L. W. Ht. � � <br /> A CESS RESIDENTIA STORIES B 1 2 3 PE MIT FEES�* <br /> BLDG. PERMIT J�. S � <br /> N EXISTIN DWELL. BDRMS/FLR <br /> AGENCY-APPROV. DATE UnliTs 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. <br /> SAC CHARGE <br /> C LASS. <br /> STORIES COUNCIL <br /> APP. DATE TOTAL DUE �� .O O <br /> R EMAR KS: � <br /> l <br /> INSPECT�pJ J3�QU R� WORK REQUIRING ACKNOWLEDGEMENT <br /> � ` SEPARATE PERMITS <br /> F TING before pour THE UNDERSfGNEO 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 /> �FINAL before occupancy <br /> SEPTIC MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER— <br /> VVORK 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 MINNESOT BUILDING CODE REQUIREMENTS. <br /> CALL 8- 12 A.M. INSP. 1 -4 P.M. <br /> CALL 1 - 4 P.M. INSP. NEXT OAY ELECTRICAL from State <br /> Signature a <br /> COPY: WHITE—FILE GREEN—FINANCE /' r <br /> CANARY—INSPECTOR GOLD—RECEIPT � �J <br /> PINK—ASSESSOR Approved ty of Orono <br />