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CITY of ORONO <br /> Building Permit PERMIT NO. 635 <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED `3-- `-' <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 641/(4_12 <br /> ZONING DISTRICT _34 q Ai-re_oe <br /> SITE ADDRESS <br /> PROPERTY IDENTIFICATION NO.(PID) ds—// 2 "-.,,?3 0-0J-S--- <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE O R (Name) (Address) (Phoe <br /> VAR. DATE &-/ )A- d/id,e.��� y� . � nC � <br /> ARCHITECT/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> C ND. USE A` <br /> L AREA B DER / (Firm) (Address) (Phone) <br /> W T DEPTH 0 ! � k <br /> TY E O WORK Ne Addition C Remodel Renovate <br /> PR POSED SETBACKS: <br /> FRONT R. SIDE <br /> CONST.TYPE BUILDIN SIZE Estimated Construction Valuation <br /> R R L. SID , CTO <br /> —070 <br /> L <br /> . W. Ht. lz <br /> L K W NDS <br /> OCCUPANCY PERMIT FEES <br /> J CLASSIFICATION a) <br /> ACCESS DWELL. STORIES B 1 2 3 BLDG. PERMIT <br /> UNITS STATE FEES <br /> N. EXISTING GAR. STALLS NUMBER OF BEDROOMS <br /> AGENC -APPROV. DATE ATTPLAN 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 /> h <br /> REMARKS: F L-lJ S _ <br /> ' - 4,I'\- 3 .--L-fo TOTAL DUE /4;ec7 _S-- Sip <br /> • <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> INSPECTION REQUIRED SEPARATE PERMITS <br /> 0 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 /> O WALLBOARD before taping <br /> ❑ FINAL before occupancy WELL ❑ ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE- <br /> D SITE INSPECTION SEPTIC ❑ MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RESEWER ❑ SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> -QUIRED INSPECTION WILL BE SUB- WATER ElPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> GRADING&FILLING E <br /> INSPECTIONS MUST BE CALLED-IN �. <br /> 24 HOURS IN ADVANCE. FIRE ❑ /—� <br /> Signature C' 1 . Date <br /> COPY:WHITE-FILE GREEN-FINANCE FAIW/ -11-7R-- <br /> CANARY-INSPECTOR <br /> — - <br /> CANARY-INSPECTOR GOLD-RECEIPT `/L��� <br /> PINK-ASSESSOR Approve.�� . �� .�. I. 414ity orono <br /> Brooklyn Prtg.&Adv.Co.Inc. (612)561-4470 <br />