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CITY of ORONO PERMIT N9 = 55921 <br /> Building Permit <br /> DATE ISSUED V o) ' <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT SITE ADDRESS ca4SL W eisc9 krwri I / <br /> LEGAL DESCRIPTION: PROP. ID. 3 3 I( 3 4/ t5751)t5751) s <br /> LOT BLOCK SUBDIVISION <br /> FIRE ZONE <br /> OWNERI� (Name) (Address) (Phone) <br /> VAR. DATE 1� I 4\ EdACxli44213S S/i'►Y^e:- <br /> ARCHITECT/ENGINEER – Must Certify Multi-Family, Commercial & Industrial Construction Plans <br /> COND. USE DATE CERT.NO. <br /> (Firm) (Address) (Phone) <br /> LOT AREA <br /> WIDTH DEPTH BUILDER (Firm) (Address) (Phone) <br /> PRQPOSED SETBACKS tnfi ,sAIA d=- <br /> FRiMIT R.SIDE ' TYPE OF WORK New Addition (emodeI J Renovate <br /> .,- . :. L.S I It, Rt yet I Of Peg rnn %1r—.-C 1 no•s4+ New ,-FcOe- <br /> CONST. TYPE BLDG.SIZE EST.CONST.VALUATION <br /> LAS(K' 1 �. TLPS <br /> DID <br /> L. W. Ht. SI l/ -76 ..... <br /> DI <br /> ACCE : RESIDENTIAL STORIES B 1 2 3 PERMIT FEES <br /> • '' BLDG. PERMIT .).�, OC) <br /> E EXIS i DWELL. BDRMS/FLR <br /> AG . CY-APP'e BATE UNITS STATE FEE -%-13 <br /> CIT GAR.STALLS SEPTIC PLAN REVIEW <br /> �// ATT. APP. DATE <br /> COUIY DET. PENALTY <br /> VVVVVV DOCK <br /> STATE NON-RESID. PROPOSED USE PARK FEE <br /> 1 <br /> SAC CHARGE <br /> PR. EASEMENT OCC. <br /> CLASS. <br /> STORIES COUNCIL <br /> APP. DATE 1 TOTAL DUE 4 cgc, � <br /> REMARKS: ifenLi j 619;e4.-M ---t' -'17 7 4/61i ' 1 /O a <br /> INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT <br /> FOOTING before pour 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 /> f>e, WELL <br /> FINAL before occupancy ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> SEPTIC MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER— <br /> WORK BEYOND OR WITHOUT A RE- SEWER <br /> QUIRED INSPECTION WILL BE SUB- WATER SIGNED FURTHER AGREES TO DO ALL WORKS IN STRICT COM- <br /> JECT TO PENALTY. PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> GRADING& FILLING <br /> INSPECTION HOURS 473-7357 OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> CALL 8 - 12 A.M. INSP. 1 -4 P.M. <br /> CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State + 41 �/ <br /> Signature "V v� 0. Date 7 ~w _ r <br /> COPY: WHITE—FILE GREEN—FINANCE <br /> CANARY—INSPECTOR GOLD—RECEIPT <br /> PINK—ASSESSOR Approved City of Orono <br />