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CITY of OIZO1TO PERMIT N� -� 5449 I <br /> Building Permit �', <br /> DATE ISSUED��''�� � � � � <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br /> P.O. BOX 66, CRYSI-AL BAY, MN 55323 473-77�I5 <br /> ZONING DISTRICT SITE ADDRESS '��'7'� �� �CF'J.�, <br /> LEGA� DESCRIPTION: PROP. ID. 0..�� ` i � 7 2—J '� .�% �f� � <br /> LOT BLOCK SUBDIVISION <br /> FIRE ZONE <br /> WNER (Name) (Address) (Phone) <br /> VAR. DATE -� � �� � �� , <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 /> CA�.� ��v P `f�.� ' <br /> PROPOSEDSETBACKS <br /> FRONT R.SIDE TYPE OF WORK New Addition Remodel enova <br /> REAR L.SIDE �i�j'�'jp-� ,.- .jQ�� � <br /> CONST.TYPE BLDG. SIZE EST. CONST.VAL ATION <br /> LAKE WETLANDS � <br /> L. W. Ht. �� �' <br /> ACCESS RESIDENTIA STORIES B 1 2 3 PERMIT FEES <br /> BLDG. PERMIT Q, �� <br /> NEW EXISTING DWELL. BDRMS/FLR <br /> AGENCY-APPROV. DATE urvtTs STATE FEE � S� <br /> CITY GAR.STALLS SEPTIC PLAN REVIEW <br /> ATT. APP. DATE <br /> COUNTY �ET. PENALTY <br /> DOCK <br /> STATE NON-RESID. PROPOSED USE PARK FEE <br /> PR. EASEMENT occ. <br /> SAC CHARGE <br /> C LASS. <br /> STORIES COUNCIL �Q/�� <br /> APP. DATE TOTAL DUE <br /> REMARKS: ��SI b�.� ���4.�i' 4l�bY'� ll.�t LL Kb j �� �c�l�t�� �E.� <br /> _E/�'t� L� y" �av�Wl �r ��� 1/ <br /> INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGE!l/1ENT <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 /> WELL ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> F INA L before occupancy <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 AGREES TO DO ALL WORKS IN STRICT COM- <br /> WATER <br /> JECT TO PENALTY. PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> INSPECTION HOURS 473-7357 GRADING&FILLING <br /> CALL 8 - 12 A.M. INSP. 1 -4 P.M. <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> CALL 1 - 4 P.M. INSP. NEXT DAV ELECTRICAL from State � <br /> Signature �'Lc�C� ate <br /> COPY: WHITE—FILE GREEN—FINANCE <br /> CANARY—INSPECTOR GOLD—RECEIPT <br /> PINK—ASSESSOR Approved " City of Orono <br />