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2001-P03742 - addn/remodel/repair
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128 Chevy Chase Drive - 36-118-23-41-0041
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2001-P03742 - addn/remodel/repair
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Last modified
8/22/2023 5:04:53 PM
Creation date
4/12/2016 12:11:27 PM
Metadata
Fields
Template:
x Address Old
House Number
128
Street Name
Chevy Chase
Street Type
Drive
Address
128 Chevy Chase Drive
Document Type
Permits/Inspections
PIN
3611823410041
Supplemental fields
ProcessedPID
Updated
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Total Fee: $ Date Received: �- ��,- �1 <br /> Entered By: Pernut�#: ���' 3 J�`�-- <br /> , r <br /> CITY OF ORONO - BUILDING PERMIT 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 R CONTRACTOR � <br /> JOB SITE ADDRESS: f� � �'��'V' y' Ci/'�"I�L-`� '���P: �) '� �� <br /> 6��'.�.�� <br /> NAME OF OWNER: (.�C>/�,I.�IL�L� ���'I/ '�/� PHONE: (home�S'`?���-� <br /> (work) <br /> MAILING ADDRESS: S,�q���' '� CITY: ZIP: <br /> coNTRacTox: .��� r',% .��,��� ���ST: rxorr�:_ ���.� )y�s o�s'�/ <br /> CONTACTPERSON: �`i��� J�����,rQ MOBILE/PAGER: <br /> MAILINGADDRESS: �•�3iG �i�GI,�S'> �i, CITY: ft�;�D'`C�'7/,.�- ZIP: j'° �j <br /> STATE LICENSE: # ',�L� S `� <br /> ARCHITECT/ENGINEER: �;����L'[� (Gn,'i� l C�. PHONE: <br /> MAILING ADDRESS: ti �� .y'L/a•t,/S CITY: ZIP: <br /> NAME: /,',A/'i� L�c�.����,�/, REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration '�� Land Alteration <br /> PROPOSED WORK(describe in detai�: �•���.�c'Z ��t ��J"f��fle�"J S <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> � NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $� `] C �'D :ti��°t v,�j.r//� <br /> ;/�L i,y�✓3/2•G�� /�L��T/L�fr� L�Z�� GvQlrl(r <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 Ciry and with�`7�'�'• <br /> the State Building Code; that I understand this is not a permit and work is not to start without a �.�;T,�1v�f <br /> permit; and that the work wil e in a c with the approved plan. ��riJ�: <br /> APPLICANT'S SIGNAT . DATE: �G �' � <br /> ,; <br /> NOTE! Parade of Homes events r ui - rate pernzit approval by Police Deparlment and <br /> Cily Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />
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