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CITY of 0140NO PERMIT N9 _ 53691 <br />Building Permit <br />Of.TE ISSUED <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br />P.O. BOX 66, CRYSTAL BAY, PAN ", 323 473-7357 <br />ZONING DISTRICT SITE ADDREyS '16 ��AS-r L�1CF sT _ <br />L �_/A LEGAL DESCRIPTION: PROP. ID. # S- //7- a13 /3 O <br />1 nT / RI Orx SUBDIVISION <br />FIRE ZONE <br />L,ONb LA E <br />VAR. DATE <br />COND. USE DATE <br />LOT AREA <br />l DDO SCA <br />WIDTH DEPTH <br />/..-is^ ....f. t <br />PROPOSED SETBACKS <br />FRONT R.SIDE <br />REAR L. E <br />LAKE WETLANDS <br />ACCESS Ik,, ATE <br />NEW EXISTING <br />AGENCY-APPROV. DATE <br />CITY <br />COUNTY <br />STATE <br />EAL_":rVT Pfl I UIIT C <br />INNER <br />(Nadel (Adcrress) <br />(Phone) <br />/VC v <br />ARCHITECT/ENGINEER - Must Certify M Iti-Family, Commercial & Industrial <br />Construction Plans <br />I.ERT.NO. <br />_- <br />(Firm) (Address) <br />(Phone, <br />BUILDER <br />(Firm) (Address) <br />(Phone) <br />iC F' 1'" S <br />w <br />a - O <br />TYPE OF WORK <br />Nwwew Addition Remodel <br />Renovate <br />(9( <br />CONST TYPE <br />riLDG. SIZE <br />ESTCONST VALUATION <br />�,"' <br />L yg W HI <br />/ <br />RESIDENTIALf <br />S10HIES B 1 Q 3 <br />PERMI <br />FEES <br />✓_t <br />BLDG. PERMIT <br />S 00 <br />_ <br />OWLLL <br />nn <br />BDRMS,-FLR yr OZ STa7� <br />"� <br />UNITS <br />STATE FEE <br />PLAN REVIEW <br />S•00 <br />a>Z 00 <br />G TALLS <br />SEPTIC <br />ZTT:) <br />APP D',TE <br />PENALTY <br />_ <br />D)CK <br />PARK FEE <br />f✓ <br />NON RESID <br />PROPOSED USE <br />SAC CHARGE <br />Y �' <br />OCC <br />CLASS <br />STORIES <br />i <br />COUNCIL <br />APP DATE <br />TOTAL DUE <br />/35,01 <br />REMARKS: J1 DE'GCc &,. _Alnr� wi07- CA& TO 7S' _SGTAACC Alep/} <br />-1.) P-9lrl-0 0411 ��Q A'11�at. AtLiZ_ �`'1rl gL1J H�fQOCGtICQ t../J rj-1 - — <br />ST1trl/tt Zwe .05 0/- <br />3i Se,Ii SC�1��C S�/S?jr` A OPA O /N o,,c.H►4 <br />INSPECTION REQUIRED <br />_! ' <br />FOOTING before Pow <br />FRAMING rough rn <br />INSULATION <br />_ 16-_ <br />WALLBOARD Before Taping <br />."t_.-. FINAL ben- -e occupancy <br />WORK BEYOND OR W'THOUT A RE <br />OUIRED 11'.3PECTION WILL BE SUB <br />JECT TO PENALTY <br />INSPECTION HnURS 413 7357 <br />CALLS 12 A M INSP 1 4 P M <br />CALL 1 - 4 P.M. INSP NEXT DAY <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PLUMBING <br />MECHANICAL1!___ <br />WELL <br />SEPTIC-- <br />SEWER <br />WATER - ----- <br />GRADING & FILLING—__ <br />E ICAL Iron Stera - % <br />COPY WHITE FILE GREEN FINANCE <br />CANARY -INSPECTOR GOLD RECEIPT <br />PINK -ASSESSOR <br />ACKNOWLEDGEMENT <br />THE UNDERSIGNED HEREBY RFOUESTS 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 WORKS IN STRICT COM- <br />PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br />OF MINNESOTA BUILDING CODE REQUIREMENTS. <br />Ile <br />Signature r Dow <br />Approved7rn _City of Orono <br />