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2003 - P05935 - re-roof
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4520 West Branch Rd - 06-117-23-34-0004
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2003 - P05935 - re-roof
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Last modified
8/22/2023 5:27:18 PM
Creation date
1/24/2020 10:20:37 AM
Metadata
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x Address Old
House Number
4520
Street Name
West Branch
Street Type
Road
Address
4520 West Branch Rd
Document Type
Permits/Inspections
PIN
0611723340004
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Entered BY: �.) man,r; i 6�3 c <br /> J.1)cl 'Li Lr--} CITY OF ORONO-BUILDING PERMIT APPLICATION <br /> l Mi information most be subm� ,a fun before <br /> plan review,l be started. <br /> M`i ) <br /> THE APPLICANT IS: (circle one) OWNER aRI2STRAC'TO) ....._ <br /> JOB SITE ADDRESS: <br /> �5�� ty faaj_j_ P: <br /> NAME OF OWNER:Teie 5i1A 5 Tii ei PHONE: ( ) 9 s - y 7c g 7 3" <br /> (wurk) <br /> - <br /> MAILING ADDRESS: 5 A 7n CTTY: z>p <br /> CONTRACTOR:SRA F 75 me d — 1.4)e.LF./PHONE: a}9 6 G/gyp 5.5 ale b la <br /> '94/-y2 9 a- <br /> CONTACT PERSON' t A Ai_ E p;NA _ SSS 3S <br /> G+ADDRESS: 15_ `R ANG a e_Com;_� <br /> STATE LICENSE: ag22.0111.0. st/9 S/ <br /> • <br /> ARCHITECT/ENGINEER: PHONE: <br /> MALTING ADDRESS: CTTY <br /> NAME: REGISTRATION# <br /> TYPE OF WORE New Addition Accessory Sttucntrc <br /> Move Remodel/Alteradon�_ Land Alteration <br /> PROPOSED WORE(describe in dem: Re - /Loo <br /> STORIES: SQ.Fir OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS:S: ATT. DET.,_._ c o <br /> ESTIMATED coNSTRucITON vALTJATION(arming land): $ 3, g o <br /> I hereby apply fora building permit and I acknowledge that the information above is complete anti <br /> accurate;that the work will be in canfoaaance with the ordinances and codes of the City and with <br /> the State Building Code;that I understand Hui la not a permit and work 1a not to start without a <br /> permit;and that ea;work will be in accordance with the approved plan_ <br /> APPLICANT'S SIGNATURE: <br /> ' 0,......419 ' - DATE: - 3 <br /> NOTE! Eticadedifilotet events requde separate permit approval by Police Deparsment and <br /> C2ty Council ISO days prior to the e1. No,-pernrined events will not be allowed. <br /> Td WHET:0T 200E 20 'u8f TS170698ET9 : '0N XHd Wald <br />
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