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(ATY of OR()1'( ) <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br />ZONING DISTRICT SITE ADDRESS 4-ae37� <br />LEGAL DESCRIPTION: PROP. ID.,I <br />LOT R LOCk <br />FIRE ZONE <br />VAR. DATE <br />COND. USE DATE <br />LOT Art <br />n A� <br />WIDT �� DEPTH s <br />PROPOSED SETBACKS <br />FR R.SID dam" <br />REAR L.SIDf F4' <br />LAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY-APPROV. DATE <br />CITY <br />I <br />COUNTY <br />STATE <br />PR. EASEMENT <br />REMARKS <br />PERMIT N? 4395 <br />DATE ISSUED <br />_ EXPIRES <br />SUROI VISION <br />WNE <br />(Name) <br />(Address) <br />(P ne) <br />ARCHITECT/ENGINEER <br />— Must Certify Multi -Family, Commercial & Industrial Construction Plans <br />ERT.NO. -- <br />(Firm) <br />(Address) <br />(Phone) <br />B U IJAVE R <br />(Fir <br />(Addr ss) <br />(Phone) <br />933 yap <br />TYPE WORK New <br />Addition Remodel <br />Renovate <br />CONSS1 TYPE <br />BLDG. SIZE <br />EST. CONST. VALUATION <br />L. 710& N W. <br />'� Ht. <br />/ <br />S <br />RESIDENTIAL <br />STORIES B 1 <br />2 3 <br />PERM T FEES <br />X Q-3 <br />BDRMS/FLR <br />BLDG. PERMIT <br />DWELL. <br />UNITS <br />STATE FEE <br />REVIEW3 <br />STALLS <br />SEPTICPLAN <br />PT <br />APP. DATE <br />PENALTY <br />DOCK <br />PARK FEE <br />NON RESID <br />PROPOSED USE <br />SAC CHARGE <br />B fl <br />OCC. <br />CLASS. <br />STORIES <br />COUNCIL <br />TOTAL DUE <br />APP. DATE <br />oiSoi�, <br />INSPECTIO REQUIRED <br />,�QOTING before pour <br />___ F MING rough -in <br />ULATION <br />AL BOARD Before Taping <br />INAL before occupancy <br />WORK BEYOND OR WITHOUT A RE- <br />QUIRED INSPECTION WILL BE SUB- <br />JECT TO PENALTY. <br />INSPECTION HOURS 473-7357 <br />CALL 8 - 12 A.M. INSP. 1 4 P.M. <br />CALL 1 - 4 P.M. INSP. NEXT DAY <br />WORK REQUIRING <br />SEPARATEPERMITS <br />PLUMBING -v _- <br />MECHANICArL <br />WELL ✓ _ <br />SEPTIC-____-... <br />SEWER -------- ----- <br />WATER -- ---- - <br />GRADING & FILLING-.----- <br />'o"''ELECTRICAL from State <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br />THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES <br />UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br />ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br />MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER <br />- <br />S/GNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNESOTA BUILDING CODE REQUIREMENTS <br />COPY WHITE --FILE GREEN FINANCE <br />CANARY -INSPECTOR GOLD RECEIPT <br />PINK- ASSESSOR <br />Signature Date/ <br />Approved �� ty of Orono <br />