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CIF ORONO - BUILDING PERMIT APPLICATION <br /> i II <br /> li <br /> Total Fee: $ �7 TY ODate Received: /0 -- 1e ' go <br /> Date Approved: <br /> Entered By: <br /> Permit#: 33I <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> THE APPLICANT IS: (circle one) WNER or CONTRACTOR <br /> JOB SITE ADDRESS: 7,,. ._). 76 X11 i /cIA /,1, i S IkA 1 I ZIP: ��, ( V <br /> (workg26 3.3 <br /> NAME OF OWNER: J 1111 f" RITXX,0/1-eS i /C— -34612_ 6 <br /> MAILING ADDRESS: ca., //t CITY: U `at 6 C.1-- ZIP: SS 3 6 V- <br /> CONTRACTOR: °Q ( 1 PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration v/ Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : Slie.cikook <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 4606 , 6 6 <br /> I hereby apply for a building permit and I acknowledge that the informatics <br /> above is complete and accurate; that the work will be in conformance with t.. <br /> ordinances and codes of the City and with the State Building Code; that <br /> understand this is not a permit and work is not to start without a permit; ar <br /> that the work will be in a ordance wit- "th. approved plan. <br /> / l <br /> APPLICANT'S SIGNATURE: i Orl(i1%1 v7 14L4'-- DATE: /C '/6 - C <br /> (Please fill out the reverse side of this form) <br />