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CITY of ORONO _ _ _ <br /> Building Permit PERMIT NO. 6277 I <br /> AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED4:9IA Z5 7 <br /> P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 n <br /> ZONING DISTRICT /..5-, �( J . 6a� �SITE ADDRESSL>`!4(-1}fL4c1\l. <br /> PROPERTY IDENTIFICATION NO.(PID) -7---,17— a3 c-iicg 00C1-(14 <br /> FIRE DEPARTMENT LOT BLOCK SUBDIVISION / <br /> POST OFFICE OWNER ( me) (Address) (Phone) <br /> A ) �j�,f--o-)- _q 7a-3 b(s)/e <br /> VAR. DATE ARCHITECT GINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND. USE DATE <br /> LOT AREA BUILDER (Firm) (Address) (Phone) <br /> DTH0 DEPTH 21c-r‘..Q_ / ' l /L. 3g&D�71.�\ �r- q7/-E `�/ <br /> TYPE OF WORK New Addition Remodel -enovate <br /> P PED SETBACKS: <br /> F T K-e <br /> F O T R.SIDE <br /> CONST.TYPE BUILDING SIZE <br /> EAR L. SID Estimated Construction Valuation <br /> L. W. Ht. <br /> LAKE W NDS <br /> OCCUPANCY PERMIT FEES <br /> ....)\.. <br /> CLASSIFICATION <br /> ACCE S DWELL. STORIES B 2 3 BLDG. PERMIT / <br /> UNITS STATE FEE ! l ,J <br /> NEW EXISTING GAR. STALLS NUMBER OF BEDROOMS <br /> AGENCY-APPROV. DATE ATTPLAN 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: TOTAL DUE 3 3 ,,1 'D <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 /> ill <br /> / WALLBOARD before taping WELL ElANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- <br /> D MENTS REPRESENTED ON THIS DOCUMENT. THE UNDER- <br /> WORK BEYOND OR WITHOUT A RESEWER ❑ SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT COM- <br /> -QUIRED INSPECTION WILL BE SUB- WATER ❑ PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE <br /> JECT TO PENALTY. OF MINNESOTA BUILDING CODE REQUIREMENTS. <br /> GRADING&FILLING ❑ <br /> INSPECTIONS MUST BE CALLED-IN 07 <br /> 24 HOURS IN ADVANCE. FIRE ((//')) <br /> Signatur 4P - . Date' r_ i 2 -SI- <br /> COPY:WHITE-FILE GREEN-FINANCE / <br /> iAll <br /> CANARY-INSPECTOR GOLD-RECEIPT <br /> PINK-ASSESSOR Approved ......AI I /��`Ai '4fof rono <br /> Brooklyn Prtg.&Adv.Co.Inc. (612)561-4470 <br />