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1998-010128 - basement finish
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4160 Forest Lake Drive - 07-117-23-11-0003
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1998-010128 - basement finish
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Last modified
8/22/2023 5:29:24 PM
Creation date
8/12/2020 2:49:24 PM
Metadata
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x Address Old
House Number
4160
Street Name
Forest Lake
Street Type
Drive
Address
4160 Forest Lake Dr
Document Type
Permits/Inspections
PIN
0711723110003
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Updated
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, � .- • ��� `,,,� <br /> Total Fee: $ � ' � Date Received: ��7��� <br /> Entered By: `� Permit#: %(��'.���:� <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR� <br /> JOB SITE ADDRESS: y�� �j���;�ti nMN � 553�'1 ZIP: <br /> NAME OF OWNER: �Y�M �" L-4N►� Gc�nr.�J PHONE: (home) �l�Z ''iqoi� <br /> 4�i�:c:� �c�r�t �nn�c.� acz��: (work) <br /> MAILING ADDRESS: �, CITY: Q.ilcu�� ZIP: 553�:y <br /> CONTRACTOR: t�c�ME�wu Cc►.7sr. :�� PHONE: ��2-3��3 <br /> CONTACT PERSON: `?�M . MOBILE/PAGER: ��l G-3��t� <br /> MAILING ADDRESS: �ic�� CTK 2a �� �� CITY: ��N� ZIP: 553zg, <br /> STATE LICENSE: # y�5�} <br /> ARCHITECT/ENGINEER• F��►�Eeu,;,,;� ��r�.,�,N PHONE: <br /> MAILI'�i TG ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> P�Iove Remodel/Alteration ✓ Land Alteration <br /> PROPOSED WORK(describe in detain: QaS�M�-r F�►��sN , <br /> �x'n�G. lU6N1 K3A'TN, FAM+�( RGI�i✓�� cvrc'T f3aR l�i�►N dREp� �"E+t.K'�s5 Z�,n+�>c,'•v� <br /> STORIES: Nlf} SQ. FEET OF EACH FLOOR: 102y sq F7 �,a5�►�.t��•,-T <br /> NO. OF BEDROOMS: u ��_ GARAGE STALLS: ATT. v DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ `-i�j DUO`�' <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance ' the approved plan. <br /> APPLICANT'S SIGNATURE: �'"`� r �""�'''z'�""'"` DATE: l 7 hpc�q� <br /> I�reS <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />
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