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CITY of OKO�TO <br /> Buildin Permit PERMIT NO. 614� � <br /> g � _ ��� <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED � <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZON�G ISTR�T ��� ���/0 <br /> SITE ADDRESS � <br /> 1 PROPERTY IDENTIFICATION NO.(PID) �.�—!/rI� -�J�S '� � 1 � G'�t'� % �' <br /> FIRE D�vP`AI�TMENT LOT BLOCK SUBDIVISION <br /> � C_ <br /> POSTOF�ICE NER (Name) (Address) (Phone) <br /> �-r-� �!� ���7 f�-« �- 7 - � � <br /> V DATE ( ARCHITECT/ENGINEER- Must Certify Multi-Family, Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE ' � , <br /> �" � lf�� �"��1� c <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> ��� �1 ,�J ,/ 1 <br /> WIDTH � DEPTH ��"i � �37 /l rJ ,�Y'Cl�- ��� �--- �T .�J <br /> l-�-� � TYPE OF WORK ew Addition Remodel Renovate <br /> F'ROPOSED SETBACK��' / � r �� <br /> F O T� SIDE �� <br /> ` CONST.TYPE BUILDING SIZ�G U � Estimated Construct on Valuation <br /> REAR^� IDE � <br /> C.! � L. '� ,� W. � Ht. �� � d � �C� <br /> LAKE WETLANDS <br /> -_ �_ OCCUPANCY PERMIT F�E S <br /> CLASSIFICATION f�1�`J� <br /> ACCESS DWELL. BLDG. PERMIT � <br /> STORIES B 1 2 3 / <br /> ``//� UNITS STATE FEE (P •�v <br /> NEW EXISTI GAR. STALLS NUMBER OF BEDROOMS �/ ` �j <br /> AGENCY-APPROV. DATE q� a �� 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 /> REMARKS: �� „l`s ` ° TOTAL DUE � `� (� <br /> aJ <br /> !�•:1�C�-«�c^trC?,�_ <br /> IN PECTION REQUIRED <br /> 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 /> . . . . . . <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 /> ORK 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. WATER.............................. ❑ <br /> GRADING&FILLING ............... ❑ <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> INSPECTIONS MUST BE CALLED-IN <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ c� � ` �/ <br /> Signature---� �"'� "�'� bate (_���7k� <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved � City of Orono <br /> Brooklyn Prtg.&Adv.Co.Inc. (612)561�470 <br />