Laserfiche WebLink
CITYO� ORONO PERMIT N� = 55'74 � <br /> Building Permit �, , <br /> DATE ISSUED l <br /> AND APPLICATION FOR CERTIFICATE OF OCCI�PANCY EXPIRES <br /> P.O. BOX 66, CRYSTAL BAY, M S TE ADDRESS 3-7357 �D� �� � �� ��� <br /> ZONING DISTRICT . � <br /> LEGAL DESCRIPTION: PROP. ID. �'S=/I�s � � '"1 � <br /> LOT BLOCK SUBDIVISION <br /> FIRE ZONE <br /> WNE �Name) (Address) (Phone) <br /> ,. <br /> VAR. DATE <br /> ARC TECT/ NGINEER — Must Certify Multi-Fa ily,Commercial & Industrial Construction Plans <br /> COND. USE DATE ERT.NO. <br /> (Firm) (Address) (Phone) <br /> LOT AREA <br /> r <br /> WIDTH DEPTH BUILDER (Firm) Address) �'�'• �-�S ( one <br /> PROP E E BACKS �I � � � � � <br /> FRON .SIDE TYPE OF WORK New Addition Remodel � e ovate <br /> REAR L.S E ' <br /> CONST.TYPE BL .SIZE EST.CONST.VALUAT <br /> LAKE NDS � <br /> L. W. Ht. <br /> � <br /> ACCES RESIDENTIA STORIES B 1 2 3 PE MIT F � <br /> BLDG. PERMIT <br /> NEW EXISTING DWELL. BDRMS/FLR <br /> AGENCY-APPROV. DATE UNITS STATE FEE S �'"' <br /> CITY � GAR.STALLS sEPT�C PLAN REVIEW <br /> ATT. APP. DATE <br /> COUNTY oET. PENALTY <br /> DOCK <br /> STATE <br /> NON-RESID. PROPOSED USE PARK FEE <br /> PR. EASEMENT OCC. SAC CHARGE <br /> C LASS. <br /> STORIES COUNCIL � r�—� <br /> APP. DATE TOTAL DUE '�r <br /> REMARKS: <br /> INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT <br /> FOOTINGbeforepour SEPARATE PERMITS <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> FRAMING rough-in <br /> INSULATION PLUMBING THE REAL IMPROVEMENTS SPECIFIED, AND DECLARES <br /> WALLBOARD Before Taping MECHANICAL UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> FINAL before occupancy <br /> SEPTIC MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER— <br /> 1NORK BEYOND OR WITHOUT A RE- SEWER <br /> QUIREO INSPECTION WILL BE SUB- SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br /> WATER <br /> JECT TO PENALTY, PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> GRADING&FILLING <br /> INSPECTION HOURS 473-7357 OF MINNESOTA BUILDING ODE EQ I M TS. <br /> CALL 8-12 A.M. INSP. 1 -4 P.M. y��L / <br /> CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State <br /> Signature Date <br /> COPY: WHITE—FILE GREEN—FINANCE <br /> CANARY—INSPECTOR GOLD—RECEIPT <br /> PINK—ASSESSOR Approved �City of Orono <br />