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CITY of OKOXO <br />Building Permit <br />AND APPLICATION FOR CERTIFICATE OF OCCUPANCY <br />P.O. BOX 66. CRYSTAL BAY. MN 55323 473-7357 <br />PERMIT NO. 5934 ' <br />DATE ISSUED <br />ZONING DISTRICT <br />FIRE DEPARTMENT <br />POST OFFICE <br />VAR DATE <br />COND USE DATE ^ <br />LOT AREA <br />- <br />WIDTH ^ depth <br />PROPOSED SETBACKS <br />FRONT R SIDE <br />REAR <br />LA»^‘ <br />L SIDE <br />wetlands <br />ACCESS <br />NEW EXISTING <br />AGENCY-APPROV DATE <br />CITY <br />COUNTY <br />STATE <br />PRIVATE EASEMENT <br />SITE ADDRESS <br />PROPERTY iDt NTIFICATION NO (PIDi <br />LOT________________BLOCK___________SUBDIVISION <br />OWNER (Name) (Address) (Phone) ^ . <br />ARCEIITECT/ENGINEER - Must Certify Multi Family Commercial & Indu' trial Construction Pla**r <br />(Firm) (Address) (Phone) <br />BUILDER (Address)(Phone) <br />yrY-/^s3 <br />Addition Remod*^l RenovateTYPE OF WORK New Addition Remod*>i Renovate <br />•bfe>LO ^/ler Hvuiez / J€.if^-g4ef^ <br />CONST TYPE BUILDING SIZE Estim.itVd Construction Valuation <br />L w 2 0' H, <br />OCCUPANCY PERMIT FEES <br />CLASSIFICATION <br />DWELL <br />UNITS <br />STORIES B 1 .? 3 <br />Bl DG PERMIT ____ <br />ro <br />S 'ATF FFF <br />GAR STALLS <br />ATT <br />NUMBER or BEDROOMS <br />PI AN RFVIFW <br />DET SEPTIC <br />APP DATE <br />SAC CHARGE <br />PROPOSED USE SEWER UNIT <br />PARK FEE <br />PENALTY <br />COUNCIL <br />APP DATE OTHER <br />REMARKS_RQ4T~ <br />lOrAL DUE <br />^/P~gA(P /skue^ n~zi< Mco3T>/j>aJiT <br />INSPECTION REQUIRED <br />O.............FOOTING before poie <br />□ ......FRAMING rough in <br />□ ......INSULATION <br />O.......... WALLBOARD before taping <br />Q.............FINAL before occupancy <br />^^iiC..........SITE INSPf CTION <br />WORK BEYOND OR WITHOUT A RE <br />OUIRED INSPECTION WILL BE SUB­ <br />JECT TO PENALTY <br />INSPECTIONS MUST BE CALLED IN <br />24 HOURS IN ADVANCE <br />WORK REQUIRING <br />SEPARATE PERMITS <br />PI UMBING □ <br />MECHANICAL □ <br />mil □ <br />SEPTIC □ <br />SEWER □ <br />WATFR □ <br />GRADING A ML LING □ <br />^ iNE □ <br />ACKNOWLEDGEMENT <br />THL UNDTRSIGNlf) HtRLHv RfvjUESTS PERMISSION TO MAKE <br />THE rial IMMMOVLMINTS SPECIFIED AND DECLARES <br />UNDER PINAL TV QF I AW ACK NOWl I DGF MF NT AND ACCEPT <br />A i'JCE Of ALL iNFOMMAflUN ( (JNDITIONS AND REQUIRE <br />MENTS RIPRISINTED ON THIS DOCUMENT THE UNDER <br />SIGNED FUFUHER AGREES U) DO ALL WORK IN STRICT COM <br />PLIANCE WITH All CITY QF URONO ORDINANCES AND STATE <br />OF MlNNl ItA BUU DiNli Cl>i4t REQUIREMENTS <br />COPY WHITE FILE <br />CANARY INSPL CIOR <br />PINK ASSESSOR <br />•*ook>vM a A<K Co l«17tMl44rO <br />(iNk E N f INANCI <br />GOl D RECEIPT <br />S^jr-al <br />Appf of Ofnnt,