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CITY of OltONO PERMIT N� -- 5559 I <br /> Building Permit - <br /> DATE ISSUED�� �� <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br /> P.O. BOX 66, CRYSI"AL BAY, MN 55323 473-7357 � . <br /> ZONING DISTRICT SITE ADDRESS I 3 S� �� l (�1/� I' lrC�_ I-�? <br /> LEGAL DESCRIPTION: PROP. ID. � — � 3� <br /> LOT BLOCK SUBDI VISION <br /> FIRE ZONE <br /> WN � �(.Plame) ` (Address) (Phone) <br /> VAR. DATE �'}'\ �7� -� ���� <br /> AR ITECT/ENGINEER — Must Certify Multi-Family, Commercial & Industrial Construction Plans <br /> COND. USE DATE ERT.NO. <br /> (Firm) (Address) (Phone) <br /> LOT AREA <br /> WID D PTH BUILDER (Firm) (Address) (Phone) <br /> PROP SED BACKS <br /> FRON R.SIDE TYPE OF WORK New Addition Remodel Renovat <br /> , <br /> REAR L.SIDE e�� <br /> � <br /> CONST.TYPE BLDG. SIZE EST. CONST. VALUATION <br /> E <br /> �. W. Ht. <br /> �� ���. c� <br /> A CE RESIDENTIA STORIES e i z s PERMIT FEES, <br /> BLDG. PERMIT ��• � <br /> NEW EXISTING DWELL. BDRMS/FLR <br /> AGENCY-APPROV. DATE UNITS STATE FEE • ��y <br /> CITY GAR.STALLS SEPTIC <br /> ATT. APP. DATE PLAN REVIEW <br /> COUNTY �ET. PENALTY <br /> DOCK <br /> STATE NON-RESID. PROPOSED USE PARK FEE <br /> PR. EASEMENT occ. SAC CHARGE <br /> C LASS. <br /> STORIES COUNCIL <br /> APP. DATE TOTAL DUE c� S�� <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 /> F I NA L 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- WqTER SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br /> JECT TO PENALTY. PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> GRADING& FILLING <br /> INSPECTION HOURS 473-7357 OF MINN UILDING COD UIREMENTS. <br /> CALL 8 - 12 A.M. INSP. 1 -4 P.M. � <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 � <br /> PINK—ASSESSOR Approve it rono <br />