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2007-P10820 - addn/remodel/repair
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2650 Countryside Drive West - 04-117-23-12-0014
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2007-P10820 - addn/remodel/repair
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Last modified
8/22/2023 5:07:08 PM
Creation date
5/2/2016 3:52:42 PM
Metadata
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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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� ! { <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 inforniation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (cif•cle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No lf yes, n specral event peri��i�is re9uired tii�r�th Police Departmext and City Cozmcrl approva! <br /> 60 days pr•ior to the event. Sl�z�ttle bars se�vice lvil/be��equired ttnless applicant demonstrates <br /> sufficiervt on-site parking is available. rVoh-pei•n��itted events rvill not be a/lowed. <br /> NAME OF OWNER: PHONE: (home) <br /> (work} <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> M_AILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessoiy Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windo�vs) <br /> ' � Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe i�:detai�: <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDR001�15: GARAG� STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in coniuemance with the ordinances and codes oi the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start���ithout a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br /> ` .�, 31 � . <br />
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