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C ITY of ORONO _ _ ._ _ <br /> Building Permit PERMIT NO. 63Ov � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPAIVCY DATE ISSUED �J�1 �� / <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT SITE ADDRESS � �`(�� �• � �/2.� �• <br /> PROPERTY IDENTIFICATION NO.(PID) <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE O ER (Name) Address) (Phone) <br /> � '`�� � S . ���� 1�. �17�-31� <br /> VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DAT <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> WIDTH E ��� 1 ��� ���U ''" ��'�`+��� �' '-'1 l�` �� 1 0� <br /> TYPE OF WORK New ddition Remodel enovate <br /> PROPOSED SET KS: <br /> FRONT R.SI � <br /> CONST.TYPE BUILDING SIZ imated Construction Valuation I <br /> REAR L. � <br /> LAKE E NDS �' W Ht. C� <br /> OCCUPANCY PERMIT FEES <br /> CLASSI FICATION <br /> ACCES DWELL. STORIES g 1 2 3 BLDG. PERMIT • � D <br /> UNITS STATE FEE / ` �� <br /> NEW EXI TING GAR.STALLS NUMBER OF BEDROOMS <br /> AGENCY-A ROV. DATE ATT. PLAN REVIEW <br /> CITY DET. SEPTIC <br /> APP. DATE SAC CHARGE <br /> COUNTY PROPOSED USE SEWER UNIT <br /> STAT PARK FEE <br /> PENALTY <br /> PRIVATE EA EMENT COUNCIL <br /> APP. DATE OTHER <br /> TOTAL DUE a <br /> REMARKS: �✓ •� <br /> � <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 /> .... <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.............................. � 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 /> JECT TO PENALTY. WATER.............................. ❑ <br /> GRADING 8 FILLING ............... ❑ <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................ ❑ ���^� <br /> Signatur Date <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved City of Orano <br /> Brooklyn Prtg.&Adv.Co.Inc. (812)681-0470 <br />