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CITYof OIZ()�() PERMIT Nn � 5623I <br /> Building Permit � <br /> DATE ISSUED � � `� <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br /> P.O. B OX 66, C R YSl"A L BAY, M N 55323 473-7357 � � <br /> ZONING DISTRICT SITE ADDRESS <br /> LEGALDESCRIPTION: PROP. ID. �— l <br /> LOT BLOCK SUBDIVISION <br /> FIRE ZONE <br /> WNER (Namel (Address) (Phone) <br /> VAR. DATE �/L. <br /> A HITECT/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 BU LDER i�) � � � /„ ,� hon ► <br /> 'C6l�C —7 d�� <br /> PROPOSEDSE B�KS � <br /> FRO T .SYDE TYPE OF W RK New Addition Remodel enova <br /> ld <br /> REA .SIDE � ��'Yj � <br /> CONST. TYPE BLDG. SIZE EST. CONST. VALUATION <br /> LAK W DS <br /> L. W. Ht. ����C/�, ✓ <br /> C S RESIDENTIA STORIES B 1 2 3 P RMIT FEES <br /> BLDG. PERMIT • � <br /> NEW EXISTING DWELL. BDRMS/FLR <br /> A EN -APPROV. DATE urvlTs STATE FEE • ��� <br /> C� GAR.STALLS SEPTIC PLAN REVIEW <br /> ATT. APP. DATE <br /> COUNTY oET. 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 ���, �p <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 Taping 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 ALL WORKS IN STRICT COM- <br /> WATER <br /> JECT TO PENALTY. PLIANCE WITH ALL CITY ONO ORDINANCES AND STATE <br /> GRADING& FILLING <br /> INSPECTION HOURS 473-7357 OF MINNESOTA B O E REQUIREMENTS. <br /> CALL 8 - 12 A.M. INSP. 1 -4 P.M. <br /> CALL 1 - 4 P.M. INSP. NEX�- ELECTRICAL from State � (�`� �// <br /> / V `� <br /> Signature Date � <br /> COPY: WHITE—FILE GREEN—FINANCE <br /> CANARY—INSPECTOR GOLD—RECEIPT �,S <br /> PINK—ASSESSOR Approved � Cit f Orono <br />