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2000-P002003 - addn/remodel/repair
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2590 Countryside Drive - 04-117-23-11-0010
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2000-P002003 - addn/remodel/repair
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Last modified
8/22/2023 5:05:57 PM
Creation date
4/29/2016 3:57:34 PM
Metadata
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Template:
x Address Old
House Number
2590
Street Name
Countryside
Street Type
Drive
Address
2590 Countryside Dr
Document Type
Permits/Inspections
PIN
0411723110010
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Updated
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~ Total Fee: $ jr �/G"i- 3�l Date Received: i/��<'.i��=r> <br /> Entered By: ;�', . Permit#: /-�ac�c?c� "� <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 CONTRACTOR <br /> JOB SITE ADDRESS: Z ,5 �C> �v,a r+> I►^y .5 i� C � ZIP: <br /> � � <br /> NAIVIE OF OWNER: ��'c) v�c{ .o S%; � � rv!' � PHONE: (home) �� �� 7,� J <br /> (work) <br /> MAILING ADDRESS: .5��,,,� - CITY: �e� ,�,,;��,� ZIP: <br /> CONTRACTOR: .� � m 1� �.�� "" �l C�:�r�•� '� PHONE: ��% ` �3 G� a <br /> CONTACT PERSON: �; w` j,�l, 2 l C L[- MOBILE/PAGER: �j�� - �y � .� <br /> MAILING ADDRESS: � Sr��'� �,�.�!A .s�.�,^C �ld%6ITY: /�'�,��. h ��•,� ZIP: .a� ?���F <br /> STATE LICENSE: # ;Z ;2- � 5 <br /> ARCHITECT/ENGINEER:� �c,�a„� ►'Y1 c,r�G►l,� PHONE: � YC� ` ��l.S � <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�: <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. S DET. <br /> � �' <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $��`7�, L �- L� • <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 /> APPLICANT'S SIGNATURE: �� ` '� DAT`E: ��L ( " ��j <br /> 1 1 <br /> NOTE! Parade of Homes evenCs 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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