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CITE' of ORONO Building Permit PERMIT NO. 60211 <br />AND APPLICATION FOR CERTIFICATE OF CCCUP,ANCY <br />DATE ISSUED <br />P.O. BOX 66, CRYSTAL BAY. MN 55323 473 <br />P <br />STRICT <br />MENT <br />POST OFFICE <br />VAR.DATE <br />COND USE DATE <br />LOT AREA <br />f <br />WI TH DEPTH <br />rJno t <br />PROPOSED SETBACKS. <br />FROPT R. SIDE 7 1_ <br />REAR L. SIDE T <br />/v r+ <br />LAKE WETLANUS <br />accEss <br />EXISTING <br />A CY-APPROV.DATE <br />CITY _ <br />ei <br />COUNTY <br />STATE <br />PRIVATE EASEMENT <br />REMARKS <br />SITE ADDRESS %-ki <br />It, <br />PROPERTY IDENTIFICATION NO ID, <br />— <br />O <br />LOT_gLOCK <br />SUBDIVISION <br />_ <br />O R (Name) <br />(Address) <br />(Phone) <br />ARCHITECT/ENGINEER - Must Certif <br />Multi -Family, CoMmerctaft <br />Industrial Construction Plans <br />IFIrm) <br />i <br />(Address) <br />(Phone) <br />BUILDER (Firm) <br />(Address) <br />(Phone) <br />? <br />� �- <br />• /c <br />v - a7o <br />TYPE OF WOfT ew Addition Remodel <br />Renovate <br />L:UNST TYPE <br />BUILDING SIZE <br />Estimated Construction Valuation <br />L W 39 if Ht r <br />Q 000 <br />OCCUPANCY <br />PERMIT FEES <br />CLASSIFICATION <br />BLDG. PERMIT <br />DWELL. <br />STORIES B 3 <br />UNITS <br />STATE FEE �00 <br />GAR STALLS <br />NUMBER OF BEDROOMS <br />ATT <br />PLAN REVIEW _v <br />DET. <br />t/—sue <br />SAC CHARGE <br />SEPTIC <br />APP DATE <br />SEWER UNIT <br />PROPOSED USE <br />PARK FEE <br />PENALTY <br />COUNCIL <br />APP DATE <br />OTHER <br />INSPECTION kEOUIRED <br />WORK REQUIRING <br />SEPARATE PERMITS <br />❑ ......FOOTING before pour <br />❑ ...... FRAMING rough -on <br />PLUMBING . •...... <br />❑ <br />❑ ...... INSULATION <br />MECHANICAL <br />❑ <br />.... WALLBOARD before taping <br />.... ..... ... <br />... <br />❑ ......FINAL before occupancy <br />WELL ............... <br />.. ❑ <br />❑ ...... SITE INSPECTION <br />SEPTIC .................. <br />❑ <br />WORK BEYOND OR WITHOUT A RE- <br />SEWER ...................... <br />❑ <br />OUIRED INSPECTION WILL BE SUB- <br />❑ <br />JECT TO PENALTY <br />WATER <br />INSPECTIONS MUST BE CALLED -IN <br />GRADING 8 FILLING .... <br />...... ❑ <br />24 HOURS IN ADVANCE <br />FIRE <br />❑ <br />COPY WHITE -FILE GREEN FINANCE <br />CANARY INSPECTOR GOLD -RECEIPT <br />PINK ASSESSOR <br />&*"I'- NIS a Ae. Co Ise i6171 541 NM <br />TOTAL DUE <br />1" / `l S !] <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 />SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES ANO STATE <br />OF MINNESOTA BUILDING CODE REQUIREMENTS <br />Sgnaiw, ! Date ��— <br />r <br />ADproved t-.ay of Ofono <br />