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CITY of ORO�O <br /> Building Permit PERMIT NO. 6213 <br /> AND APPL�CATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED /�j `�� ' <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT � �y /� <br /> SITE ADDRESS � � �--+� �`�' �n"`-�'' <br /> PROPERTY IDENTIFICATION NO.(PID) � '- �J � 7 <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name) (Address) (Phone) <br /> ��G�� �� ;�C1.,►�.�_ <br /> VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOTAREA BUILDER (Fi�) `���res� , (Phon`) <br /> /�=� f-��r� /t� � s� /- ,� ��', <br /> wiorH oEPTH ,�.1�S f/-l1/� �.��=�� i r1 -¢- f�✓1 � �i. � ��7 <br /> TYP OF WORK New Addition Remodel enovate <br /> �_�..__—� <br /> PRO ED SETB . � , � <br /> F N R S I D ��'t'L,� <br /> CONS .TYPE BU , ING SIZE Esti ated Construction Valuation <br /> RE R "i SID <br /> LAK �ETLANDS �' W� Ht. '� ��Z: <br /> OCCUPANCY PERMIT FEES <br /> � CLASSIFICATION <br /> ACC S DWELL. STORIES g � 2 3 BLDG. PERMIT �-�� • ��� <br /> UNITS , . �� <br /> STATE FEE <br /> NEW EXISTING GAR. STALLS NUMBER OF BEDROOMS <br /> AGENCY-APPROV. DATE q� , PLAN REVIEW <br /> CITY DET. SEPTIC <br /> APP. DATE SAC CHARGE <br /> COUNTY PROPOSED USE SEWER UNIT <br /> STATE PARK FEE <br /> PENALTY <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER <br /> TOTAL DUE � �� <br /> REMARKS: <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> INSPECTION REQUIRED SEPARATE PERMITS <br /> �❑ . FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <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 /> �. . . FINAL before occupancy <br /> WELL............................... ❑ <br /> ❑ . . . . . . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RE- SEWER.............................. � S�GNED 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 /> JECT TO PENALTY. WATER.............................. ❑ <br /> GRADING 8 FILLING ............... ❑ <br /> OF MINNESOTA ILDING CODE REQUIREMENTS. <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ g /G�/ � <br /> Si nature �� Date <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT y � <br /> PINK-ASSESSOR Approved �� f/ '�1� � � , i ono <br /> Brooklyn Prtg.&Adv.Co.Ina (612)561-0470 <br />