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CITY of ORO�O <br /> Building Permit PERMIT NO. 604� � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED ' <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT J %��,�- <br /> SITE ADDRESS � �/ �� ���/� � � ��{� � <br /> PROPERTY IDENTIFICATION NO.(PID) <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWN R .. (Name) (Address) (Phone) <br /> L%l�") �'!c" � � T/ ��'►�Y��� L �f�� Cl <br /> VAR. DATE ARCHITECT/ENGINEER- ust Certify Multi-Family,Commercial& Industrial Construction Plans <br /> � (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> r <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> r. �'�'.30� <br /> �, .� ) <br /> WIDTH, TH �� ��•� ��� � �� �It__� � � ��t /S <br /> TYPE OF WORK New Ad � on Remodel Renovate <br /> PROPOS E KS: � <br /> FRONT . S E � G <br /> CONST.TYPE BUILDING SIZE Estimated Construction Valuation <br /> REAR L. IDE <br /> L W. Ht. ���C�C�� Oz1 <br /> LAK��'� LANDS <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION —/ L� <br /> C S DWELL. STORIES g � 2 3 BLDG. PERMIT � <br /> UNITS STATE FEE � (� <br /> NEW EXISTING GAR. STALLS NUMBER OF BEDROOMS <br /> AG CY-APPROV. DATE q� 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 !,Lr <br /> REMARKS: �� � <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> INSPECTION REQUIRED SEPARATE PERMITS <br /> ❑ . . . . . . FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSfON TO MAKE <br /> ❑ . . . . . . FRAMING rough-in PLUMBING ......................... ❑ THE REA� 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 <br /> WELL............................... <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 MINNES QTA B I I G CODE REQUIREMENTS. <br /> GRADING&FILLING ............... ❑ /�' <br /> INSPECTIONS MUST BE CALLED-IN . _- <br /> , � <br /> 24 HOURS IN ADVANCE. FIRE................................. ;; l r� ,:j <br /> Signature r i ��=^`� ` - Date ��� <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLO-RECEIPT —} <br /> PINK-ASSESSOR Approved ? C'y of Orono <br /> Brooklyn Prtg.&Adv.Co.Inc. (612)567-0470 <br />