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1999-012151 - finish basement
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2650 Countryside Drive West - 04-117-23-12-0014
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1999-012151 - finish basement
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Last modified
8/22/2023 5:07:07 PM
Creation date
5/2/2016 3:51:27 PM
Metadata
Fields
Template:
x Address Old
House Number
2650
Street Name
Countryside
Street Type
Drive
Street Direction
West
Address
2650 Countryside Dr W
Document Type
Permits/Inspections
PIN
0411723120014
Supplemental fields
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Updated
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„� Total Fee: $ ( ��(.-�� �'��” Date Received: ''- - �/ <br /> � Entered By: d:� 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 /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: o�(�50 (�u���.-�R�r S i c� �R . ZIP: 55 3 5 C� <br /> NAME OF OWNER: ��v'-� ��v'�,Q�l, �h� PHONE: (home)�t Z�`��]S' I �g <br /> (work) (fl � 2 �3 7 l �- �'�f('c� <br /> MAILING ADDRESS: Z(�5 0 C��K.�Qy 5��� �1.�, CIT`Y: v v p v�C� ZIP: .SS 3 S� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: i�10BILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration C Land Alteration <br /> b�i s C� c��I- <br /> PROPOSED WORK(describe in detai�: .�.✓�� � � ' i ��r?c� <br /> l � � � �-' C-��b- � t?^'t cc �- ' r �c/ <br /> STORIES: I �b,,y�M�"�' J SQ. FEET OF EACH FLOOR: 1(o QC� <br /> NO. OF BEDROOMS: J GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � �G��'� <br /> I hereby apply for a building permit and I acknowledae 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 pernut 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: �-- _ DA'TE: � � S� �I G <br /> � <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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