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CITY of ORONO PERMIT N� 417 <br /> Building Permit <br /> DATE ISSUED_ 7, (Z-erj <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY EXPIRES <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING DISTRICT SITE ADDRESS OR.°in 0 G RGho.2D 5c-t(' <br /> LEGAL DESCRIPTION: PROP. ID. LOGE L`vi --K- at 1! <br /> LOT BLOCK SUBDIVISION <br /> FIRE ZONE I ' <br /> OWNER— p (Name) (Address) (Phone) <br /> VAR. DATE �lGv. EA %\SP.Tt]CA.l TZE•Sov-�t5(;S <br /> ARCH TECT/ENGINEER — Must Certify Multi-Family,Commercial & Industrial Construction Plans <br /> COND. USE DATE CERT.NO. <br /> (Firm) (Address) (Phone) <br /> LOT AREA <br /> WIDTH DEPTH BUILDER A (Firm) (Address) (Phone) <br /> PROPOSED SETBACKS , M L Asrt LEF-0 , Co :17$. C_ <br /> FRONT R.SIDE TYPE OF WORK New) Addition Remodel Renovate <br /> REAR L.SIDE Zr►dy_. <br /> CONST. TYPE BLDG.SIZE EST.CONST. VALUATION <br /> LAKE WETLANDS <br /> L. W. Ht. Mi A ee€ <br /> ACCESS RESIDENTIAL STORIES B 1 2 3 PERMIT FEESq _ <br /> BLDG. PERMIT /, S0 <br /> NEW EXISTING DWELL. BDRMS/FLR <br /> AGENCY-APPROV. DATE UNITS STATE FEE `SO <br /> CITY GAR.STALLS SEPTIC <br /> ATT. APP. DATE PLAN REVIEW <br /> COUNTY DET. PENALTY <br /> DOCK <br /> I 1 ' <br /> STATE NON-RESID. PROPOSED USE PARK FEE <br /> PR. EASEMENT oCC. SAC CHARGE <br /> CLASS. <br /> STORIES COUNCILC% � <br /> APP. DATE TOTAL DUE /0 . <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 • ORONO ORDINANCES AND STATE <br /> GRADING& FILLING <br /> INSPECTION HOURS 473-7357 r? <br /> CALL 8- 12 A.M. INSP. 1 4 P.M. OF MINNESOTA ' • ^"G CODE REQUIREMENTS. <br /> CALL 1 - 4 P.M. INSP. NEXT DAY ELECTRICAL from State <br /> �� <br /> �J'--- LSI Date-I/1A° <br /> COPY: WHITE—FILE GREEN—FINANCE <br /> CANARY—INSPECTOR GOLD—RECEIPT <br /> PINK—ASSESSOR Approved--:4 <br /> pproved- /.n ' r/ , <br /> City of Oronc <br />