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'Y of OR()NO PERMIT N9 55951 <br /> [ding Permit <br /> DATE ISSUED 44"43" ,s.S- <br /> 'PLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br /> 1X 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ING DISTRICT SITE ADDRESS 03W OLAUE <br /> LEGAL DESCRIPTION: PROP. ID. 0-111 - a-1 t-/4 0 Oto�'f <br /> LOT BLOCK SUBDIVISION <br /> E ZONE <br /> OWNER ii //(Name) (Address) (Phone) <br /> ,R. DATE ai41pk f l N=CE SfbME <br /> ARCHITECT/ENGINEER — Must Certify Multi-Family, Commercial & Industrial Construction Plans <br /> OND 1 S DACE CERT.NO. <br /> QQ�� � \N. (Firm) (Address) (Phone) <br /> �O�}ilrRE {1�� <br /> WIDT DEPTH BUILDER (Firm) (Address) Phone) <br /> �{�j�j Bk�y�,�r�c.sr( <br /> A ` C Aa S��1 L I t" .5 PP 11LPfi-at --42q <br /> -1161 <br /> PR ED SETBACKS <br /> FRONT R.SIDE TYPE OF WOR New Addition Remodel Renovate <br /> REAR L.SIDE koe_o fjF <br /> CONST. TYPE BLDG.SIZE EST.CONST. VALUATION <br /> LAKE WETLANDS <br /> L. W. Ht. i� �0v,a-C <br /> ACCESS RESIDENTIAL STORIES B 1 2 3 PERMIT FEES <br /> NEW EXISTING BLDG. PERMIT tP . dd <br /> DWELL. BDRMS/FLR <br /> AGENCY-APPROV. DATE UNITS STATE FEE S`-0 <br /> CITY ' GAR.STALLS SEPTIC <br /> ATT. APP. DATE PLAN REVIEW <br /> COUNTY DET. PENALTY <br /> DOCK <br /> STATE NON-RESID. PROPOSED USE PARK FEE <br /> PR. EASEMENT OCC. SAC CHARGE <br /> CLASS. <br /> STORIES COUNCIL <br /> APP. DATE TOTAL DUE 4=1. S .S0 <br /> REMARKS: <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 /> WELL <br /> FINAL before occupancy 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 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 /> CALL8 12 A.M. INSP. 1 -4 P.M. OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State ' <br /> l /tet; <br /> Signature �, ` . I:te <br /> COPY: WHITE—FILE GREEN—FINANCE <br /> CANARY—INSPECTOR GOLD—RECEIPT <br /> PINK—ASSESSOR Approved //r-',.. <br /> © A Ce...coot✓ . )U- City of Orono <br />