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2004-P07567 - addn/remodel/repair
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3435 Crystal Bay Road - 17-117-23-43-0120
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2004-P07567 - addn/remodel/repair
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Last modified
8/22/2023 3:42:57 PM
Creation date
6/1/2016 12:43:52 PM
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x Address Old
House Number
3435
Street Name
Crystal Bay
Street Type
Road
Address
3435 Crystal Bay Road
Document Type
Permits/Inspections
PIN
1711723430120
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Total Fe�: $ �ao� � 5� DateReceived: �� � -U�� <br /> Entered By: :j� �� Permit#: � � � -�j(�,� <br /> CITY OF ORONO - BUILDING PER'VIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please priizt all iiiformation) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> � �� ��'�=�-y ���� J �i��y � � �-�;� � <br /> JOB SITE ADDRESS: '-' ZIP: <br /> Will this be a Para of Homes, Remodelers Sho�vcase Home or other Display Home? <br /> ❑ Yes [�No If yes, a special event permit is required tivith Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will�zot <br /> be allowecl. <br /> . �1 �' � /� �' t7'�'1/✓� �S'2, '��� ��� <br /> NAME OF OWNER. � PHON home)_�,� r <br /> yy? �> (work)��� �L�" / �L�� <br /> MAILING ADDRESS: � ' � CITY: ZIP: <br /> c- D ��''' v �.� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: 1VTOBILE/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 Accessory Structure <br /> Addition ,� Move <br /> RemodeVAlteration Land Alteration,., <br /> PRO OSEp WORK (d crib e in detai�: ��w v���� r ��`",� ��yv���v'✓'�� , <br /> ;� ��� I �i�-�"- � A � �� �'w°Dj� � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �j/� � r� <br /> , <br /> I hereby apply for a building pernut and I aclmowledge that the information above is complete and accurate; that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a pernut; and that the work will be in accordance with <br /> the approved plan. <br /> "�`" - ,�./ L� G r? _ i> L� <br /> APPLICANT'S SIGNATU . �` - -- DATE: <br />
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