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CITY of OKO�TO _ _ _ <br /> Buildin Permit PERMIT NO. 6354 � <br /> g �,� <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED �) ^ � �� <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 <br /> ZONING D�STRICT S �h�c� � �n� <br /> SITE ADDRESS j <br /> PROPERTY IDENTIFICATION NO.(PID) � '� � � � / Lc <br /> FIRE DEPART T LOT BLOCK SUBDIVISION <br /> POST OFFICE O ER (Name) (Addr s ) (P one) <br /> . � . `� �-� ���-s" ���-�s <br /> VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family, Commercial 8 Industrial Construct n Plans <br /> (Firm) (Address) (Phone) /� <br /> COND. USE A ,�/'��.-��� / � <br /> " 7' / <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> WIDTH EPTH <br /> TYPE OF WORK New Addition emodel Renovate <br /> �?OP SED BACKS: M (� UI � �^ <br /> bN7 R. IDE � � ` <br /> CONST.TYPE BUILDING S Estimated Construction Valuation <br /> REA L. SIDE <br /> L. W. Ht. <br /> LA}�E TLANDS <br /> ` OCCUPANCY PERMIT FEES <br /> CLASSIFICATION /X-r , ��,� <br /> AC SS DWELL. STORIES B 1 2 3 BLDG. PERMIT /U(m� � <br /> UNITS STATE FEE �`, �� <br /> NEW EXISTING GAR. STALLS NUMBER OF BEDROOMS <br /> AG �C PPROV. DATE ATT. PLAN REVIEW <br /> CITY DET. SEPTIC <br /> APP. DATE SAC CHARGE <br /> OUN PROPOSED USE SEWER UNIT _ <br /> ST PARK FEE <br /> PENALTY <br /> PRIVATE EASEMENT COUNCIL <br /> APP. DATE OTHER <br /> REMARKS: TOTAL DUE �7�,' �� <br /> L/C/ <br /> _�'����''� <br /> WORK REQUIRING ACKNOWLEDGEMENT <br /> INSPECTION REQUIRED SEPARATE PERMITS <br /> ❑ . . . . . . FOOTING before pour THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE <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- SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> SEWER.............................. <br /> QUIRED INSPECTION WILL BE SUB- PLIANCE W�TH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. WATER............................. ❑ <br /> OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> GRADING 8 FILLING ............... ❑ <br /> INSPECTIONS MUST BE CALLED-IN _ ' i7/ �� <br /> 24 HOURS IN ADVANCE. FIRE................................. ❑ ../ ` ,. _ -�' ..J_ � <br /> Signature (�1.���� � �1�+"�� Date <br /> COPY:WHITE-FILE GREEN-FINANCE <br /> CANARY-INSPECTOR GOLD-RECEIPT � �(� <br /> PINK-ASSESSOR Approved � `-1 I � �1 l�City of Orono <br /> Brooklyn Prtg.&Adv.Co.Inc. (612)561-0470 <br />