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2001-P04289 - addn/remodel/repair
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139 Chevy Chase Drive - 36-118-23-41-0025
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2001-P04289 - addn/remodel/repair
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Last modified
8/22/2023 5:04:26 PM
Creation date
4/12/2016 2:07:54 PM
Metadata
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Template:
x Address Old
House Number
139
Street Name
Chevy Chase
Street Type
Drive
Address
139 Chevy Chase Drive
Document Type
Permits/Inspections
PIN
3611823410025
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Updated
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� `�.� �-.. <br /> Total Fee: $ '���? '�� � � � / Date Received: t�-y -�'� <br /> Entered By: ��/�) Permit#: �C�`-/� ��y <br /> � : �; r;�— �;I <br /> /`�; , / <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 OR�ONTRACTOR <br /> JOB SITE ADDRESS: I 3�j C1��„ C I,v�s�;• �2 ZIP: SS 3 i i <br /> NAME OF OWNER: ,CS���,�, ��/�i��„/ PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: ��� e �.�ti CL�,,� D• CITY: w��z�.� ZIP:�-� <br /> CONTRACTOR: /�-��r1�,/".�.,�� /✓d;..K�: PHONE: `IjZ-�i7S— �i'�i �l <br /> CONTACT PERSON: �,j� MOBILE/PAGER: <br /> MAILING ADDRESS: G Ss� %��,,,,.�.,.,�, ��:�,� CITY: i�/������,�, ZIP: Ss��K <br /> STATE LICENSE: # Z��� <br /> ARCHTTECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration �_ Land Alteration <br /> PROPOSED WORK(describe in detai�: �� �yc� �Gy �� �'� r,--.u� <br /> , <br /> �'' /�?�5/c� �S'c-z�..�.�-�--- ��S c�c /��-V--�`.: <br /> � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �J .s Y� <br /> i <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 with the approved plan. <br /> � <br /> APPLICANT'S SIGNATURE: �`���2� DATE: �� �/ �� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />
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