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1998-010941 - addition
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Countryside Drive West
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2800 Countryside Drive West - 04-117-23-12-0009
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1998-010941 - addition
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Last modified
8/22/2023 5:06:53 PM
Creation date
5/11/2016 11:38:29 AM
Metadata
Fields
Template:
x Address Old
House Number
2800
Street Name
Countryside
Street Type
Drive
Street Direction
West
Address
2800 Countryside Dr W
Document Type
Permits/Inspections
PIN
0411723120009
Supplemental fields
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Updated
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� i <br /> , ' Total Fee: $ ''�(�� �1�� Date Received: fQ��j��3' <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 information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �'--�o �,,;��r2Ys j r�:' ��- ZIP: <br /> NAME OF OWNER: �-7,����-�E'w'�-z- lOt�1.�}-S PHONE: (home) ����—�l�c� � <br /> (work) <br /> MAILING ADDRESS: .��� CE����y-;2y5-►O���TY: �►�; C.4�4�ZIP: <br /> CONTRACTOR: �IVt f�f�VSt�SI��� P • �Z— --7�-� <br /> CONTACT PERSON: C�..�.(��57� MOBIL /PAGER: j Q� -�.`:13 <br /> MAILING ADDRESS: .4 Z� _ . '�;c�- ��- CITY: �t,�yLi-{�-A- ZIP: �/ <br /> STATE LICENSE: # ?-�.`'JcU3�-f�3�o <br /> ARCHITECT/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�: ��p ��r;�r2�,r�e �L�-v-�-�� .���'t ^ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ .�, ��' <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 a rd e ' the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br /> NOTE! Parade o Homes events require separate pernzit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />
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