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CITY of ORO�O _ _ <br /> Buildin Permit PERMIT NO. 6211 ' <br /> g q <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED �� � /�� <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT <br /> SITE ADDRESS — Q <br /> PROPERTY IDENTIFICATION NO.(PID) � � " <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION <br /> POST OFFICE OWNER (Name) (Address) (Phone) <br /> , � �-� " / C��/ <br /> VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family, Commercial& Industrial Construction P�ans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT ARE BUILDER (Firm) (Address) (Phone) <br /> � <br /> WIDT DEPTH <br /> TYPE OF WORK New Addition Remodel enovate <br /> � <br /> PRO OSED SETB /� � <br /> FRONT I� �'C�-� <br /> CONST.TYPE BUILDING SIZE Estimated Construction Valuation <br /> RE . SIDE <br /> /��aC� �'=- <br /> L. W. H t s <br /> LA WETLANDS <br /> OCCUPANCY PERMIT FEES <br /> CLASSIFICATION �f� <br /> ACCESS DWELL. STORIES g 1 2 3 BLDG. PERMIT _�J i C" �-'� <br /> UNITS STATE FEE � � <br /> NEW EXISTING GAR.STALLS NUMBER OF BEDROOMS <br /> AGENCY-APPROV. DATE ATT. PLAN 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 /> TOTAL DUE �� � <br /> REMARKS: � �' �/ . � <br /> --�, �--�,1�,�� � �,LI�,C,(r/c.h'C�/— <br /> INSPECTION REQUIRED WORK REQUIRING ACKNOWLEDGEMENT <br /> SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <br /> ❑ . . . . . . FOOTING before pour <br /> ❑ . . . . . . FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLARES <br /> ❑ . . . . . . INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- <br /> ❑ WALLBOARD before taping ANCE OF ALL INFORMATION. CONDITIONS AND REQUIRE- <br /> WELL.............................. ❑ <br /> . . . . . . <br /> FINAL before occupancy <br /> ❑ . . . . . . SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RE- SEWER.............................. � SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> QUIRED INSPECTION WILL BE SUB- PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. WA7ER............... ❑ <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> GRADING&FILLING ............... ❑ <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ g ' . <br /> Si nature � Date �� �- <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT �-y�� <br /> PINK-ASSESSOR Approved � ! - ty of Orono <br /> Brooklyn Prtg.&Adv.Co.Inc. (612)561-4470 <br />