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CITY of ORONO _ _ <br /> Buildin Permit PERMIT NO. 6156 � , <br /> g <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED I <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 � <br /> i <br /> ZONING DISTRICT /� ���� � <br /> SITE ADDRESS <br /> PROPERTY IDENTIFICATION NO.(PID) � � —�- � <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name) (Address) (Phone) <br /> � �l � 7�'-/ � I <br /> VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans i <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> WIDTH DEPTH ��"� I <br /> NPE WORK New ddition Remodel Renovate <br /> PROPOSED SETBACKS: /y � � I ' <br /> FRONT R.SIDE 1���'��'�' — � l�K.�/!Z <br /> CONS TYPE BUILDING SIZE Estimated Construction Valuation i <br /> REAR L. IDE <br /> L. W. Ht. � �� <br /> LAKE WETLAN S <br /> OCCUPANCY PERMIT FEES <br /> CLASSI FICATION <br /> ACCESS DWELL. STORIES g � 2 3 BLDG. PERMIT �S/C���I <br /> UNITS STATE FEE '��d <br /> NEW E ING GAR.STALLS NUMBER OF BEDROOMS � <br /> AGENCY-AP ROV. TE q�, PLAN REVIEW <br /> CITY DET. SEPTIC <br /> APP. DATE SAC CHARGE <br /> COUNTY PROPOSED USE SEWER UNIT I <br /> STATE PARK FEE <br /> PENALTY <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER � <br /> TOTAL DUE �� `� � <br /> REMARKS: �•3 <br /> INSPECTION RECIUIRED WORK REQUIRING ACKNOWLEDGEMENT I <br /> SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> ❑ .. .... FOOTING before pour <br /> ❑ . ..... FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLA,RES <br /> ❑ ...... INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> ❑ . WALLBOARD before taping ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> WELL............................... ❑ <br /> �.. . . FINAL before occupancy <br /> ❑ .... ..SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNf�ER- <br /> WORK BEYOND OR WITHOUT A RE- SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT GOM- <br /> SEWER.............................. <br /> GIUIRED INSPECTION WILL BE SUB- yyATER.............................. � PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> GRADING&FILLING ............... ❑ <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ 9 /' ����—�f� <br /> Si nature ���'��'i�'1 � ate J <br /> COPY:WHITE-FILE GREEN-FINANCE � <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approve City of C�rono <br /> BrooklYn Prtg.&Adv.Co.Inc. (812)581�470 �f/� , <br /> ���� <br />