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2010-00139-1 inspection is with 00138
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2650 Countryside Drive West - 04-117-23-12-0014
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2010-00139-1 inspection is with 00138
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Entry Properties
Last modified
8/22/2023 5:07:09 PM
Creation date
5/2/2016 3:52:58 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
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Updated
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Fees to be Char ed YES NO <br /> � Permit <br /> Plan Review <br /> State Surcharge <br /> Investigation Fee <br /> SAC— Number of SAC Units <br /> Sewer Connection <br /> Water Connection <br /> Park Fee <br /> Site Inspection <br /> Other(specify) <br /> Miscellaneous Fees <br /> Calculated By: <br /> Square Foota e $ per S uare Foota e ' <br /> Basement X = � <br /> 1 St Floor X = $ <br /> 2nd Floo� X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> l��ite ❑ Plumbing � Grading / Filling 0 Well <br /> ❑ Hardcover Removal ❑ Mechanical ❑ Fire 0 Electrical <br /> � Footing 0 Septic � Water Connection <br /> � Poured Wall ❑ Fireplace ❑ Sewer Connection <br /> � Foundation Survey ❑ Masonry � Lawn Irrigation <br /> 0 Radon Rock Bed � Mfg. <br /> 0 Framing ❑ Other(specify) <br /> � Insulation <br /> � As-Built Survey <br /> �Final <br /> C�Other(specify) __ <br /> REMARKS (ln-house): �' �_`�� �'� � �(X.✓ 5 � �� �r rlC-� �Vr p/Hr� /aYr� �UrYI�'S o� <br /> `7 7 C�i✓� �G��Y I', I 1'�/-h'I�(� <br /> /'Iv�(1� S iCl� /�C� G�E�Y Pr�r�c��{y l�{'�e'.� <br /> l <br /> Other Review: Reviewed by: Date Approved: <br /> Access:Existing: ❑ YES ❑ NO New: ❑ YES 0 NO <br /> REMARKS (TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT) <br /> ���u ��;�� .� r�����:;�y� ����,-� c��c� �-� �������,��1 1>�-_ ��� �- � ' ��c��� <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />
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