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LTY of OIiONO PERMIT'NO _.� 499� � <br /> .�uilding Permit + <br /> DATE ISSUED '��(''�� <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br /> PZONI�G DIST ICT L BAY, M S5 E3A��RESS 3-7357 ��� � ����� ' _ e�'��;,/ <br /> � <br /> LEGAL DESCRIPTION: PROP. ID. �J" ��� �/ �0.� <br /> LOT BLOCK SUBDIVISION <br /> FIRE ZONE <br /> WNER ( ame) (Address) (Phone) <br /> VAR. DATE . � � ! V �"GlGL ,3 � a� <br /> ARCHITECT/ENGINEER — Must Certify Multi-Family,Commercial & Industrial Construction Plans <br /> COND. USE DATE ERT.NO. <br /> (Firm) (Address) (Phone) <br /> LOT AREA <br /> WIDTH DEPTH BUILDER (Firm) (Address) (Phone) <br /> PROPOSED SETBACKS <br /> FRONT R.SIDE TYPE OF WORK New Addition Remodel Renovate <br /> REAR L.SIDE <br /> CONST.TYPE BLDG. ZE EST.CONST.VALUATION <br /> LAKE WETLANDS <br /> � <br /> L. W. Ht. <br /> ACCESS RESIDENTIA STORIES B 1 2 3 PERMIT FEES <br /> A <br /> BLDG. PERMIT �0�� <br /> NEW EXISTING DWELL. BDRMS/FLR g� <br /> AGENCY-APPROV. DATE uNlrs STATE FEE � <br /> CITY � GAR.STALLS SEPTIC <br /> ATT. APP. DATE PLAN REVIEW <br /> COUNTY �ET. PENALTY <br /> DOCK <br /> STATE <br /> NON-RESID. PROPOSED USE PARK FEE <br /> PR. EASEMENT occ. SAC CHARGE <br /> C LASS. <br /> STORIES COUNCIL <br /> APP. DATE TOTAL DUE O2O� <br /> R EMAR KS: <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 /> FINAL before occupancy <br /> WELL 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- SIGNED FURTHER AGREESTO 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 /> IIVSPECTION HOURS 473-7357 OF MINNESOT ILDIIVG CODE REQUI ENTS,` <br /> CALL 8-12 A.M. INSP. 1 -4 P.M. . <br /> CALL 1 - 4 P.M. INSP.NEXT DAY ELECTRICAL from State <br /> Signat e <br /> COPY: WHITE—FIL•E GREEN—FINANCE <br /> CANARY—INSPECTOR GOLD—RECEIPT <br /> PINK—ASSESSOR Approved ity of Orono <br />