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CITY of ORONO _ __ <br /> Building Permit PERMIT NO. �J�S4 � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED �G� � US <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING D�STRICT � � � * <br /> SITE ADDRESS <br /> PROPERTY IDENTIFICATION NO.(PID) _ C��' I� — �3 1 � C�C�I� <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name) (Address) . (Phone) <br /> ��� - I � . 4 3 :� f <br /> VAR. DATE ARCHITECT/ENGINEER- Must ertify Multi-Family,Commercial& Indus ial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> WIDTH DE <br /> ` U� � �� ►� 35� Qa 473- <br /> TYPE OF WORK ew Addition , emo_ Renovate <br /> � <br /> PROPOSED SET C S: � <br /> FRONT R.SI E ' r I <br /> CONST.TYPE BUILDING SIZE Estim d Construction Valuation <br /> REAR L. DE <br /> L. W. Ht. <br /> LAKE WET AN S <br /> OCCUPANCY PERMITFEES <br /> CLASSIFICATION -� C�� <br /> ACCESS DWELL STORIES g 1 2 3 BLDG. PERMIT • _ <br /> UNITS � <br /> STATE FEE � <br /> NEW EXISTING GAR.STALLS NUMBER OF BEDROOMS <br /> AGENCY- OV. DATE ATT. PLAN REVIEW <br /> CITY DET. SEPTIC <br /> APP. DATE SAC CHARGE <br /> COUN Y PROPOSED USE SEWER UNIT <br /> STATE PARK FEE <br /> PENALTY <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER <br /> TOTAL DUE <br /> REMARKS: � . c <br /> INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT <br /> SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> ❑ . . . . . . FOOTING before pour <br /> ❑ . . . . . . FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <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 UNDER- <br /> WORK BEYOND OR WITHOUT A RE- SEWER.............................. � SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> QUIRED INSPECTION WILL BE SUB- � PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> WATER.............................. <br /> JECT TO PENALTY. <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> GRADING&FILLING ............... ❑ <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ ^ `r �— ,Y <br /> Signat ate �� <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT - <br /> PINK-ASSESSOR Approved � � � �� City of Orono <br /> Brooklyn Prtg.&Adv.Co.Ina (612)561�470 <br />