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CITY of ORONO <br /> Building Permit PERMIT NO. 5750 ' <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT T <br /> SITE ADDRESS / <br /> PROPERTY IDENTIFICATION NO.(PID) d�- 7- 3 �d <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name) (Address) (Phone) <br /> h 0—�_5 <br /> VAR. DATE ARCHITECT/ENGINEER- Must Certify amity,Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE ATE <br /> LOT AR BUILDER (Firm) (Address) (Phone) <br /> WIDTHU DEPTH '"1drs < �'-`C • P/ <br /> TYPE OF WORK New Addition Rem el enovate <br /> PRO OSEDfi <br /> T C � <br /> FROAsIC4 ff <br /> T ' - <br /> CONST.TYPE BUILDING SIZE A VIDE V Estimated Construction Valuation <br /> J <br /> LAKIA WETLANDS L. W. Ht. <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION <br /> ACCESS DWELL. STORIES B 1 2 3 BLDG. PERMIT 0 <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 /> REMARKS: TOTAL DU r <br /> INSPECTION REQUIRED <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> SEPARATE PERMITS <br /> El . . ... . FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAK E. <br /> ❑ . . .. . . FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARE <br /> ❑ . . . . . . INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> El . WALLBOARD before taping ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE- <br /> . . . . .. <br /> before occupancy <br /> WELL............................... <br /> . . . . .. SITE INSPECTION SEPTIC.............................. ❑ MENTS REPRESENTED ON THIS DOCUMENT. THE UNDE <br /> WORK BEYOND OR WITHOUT A RE- SEWER.............................. ❑ SIGNED FURTHER AGREES TO DOAL WORK IN STRICT CO <br /> QUIRED INSPECTION WILL BE SUB PLIANCE WITH AL CI OF ORO DINANCES AND STAT <br /> JECT TO PENALTY. WATER.............................. ❑ <br /> ❑ <br /> OF MINNES TA ILD GC DE I EMENTS. <br /> INSPECTIONS MUST BE CALLED-IN GRADING&FILLING ............... <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ �� <br /> 16 Signature Date <br /> X.5 <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved ity of Oron <br /> Brooklyn Prtg.&Adv.Co.Inc. (612)561-4470 <br />