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re bldg permit application
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4035 Dahl Road - 07-117-23-14-0003
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re bldg permit application
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Last modified
8/22/2023 5:31:14 PM
Creation date
6/14/2016 11:54:00 AM
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x Address Old
House Number
4035
Street Name
Dahl
Street Type
Road
Address
4035 Dahl Rd
Document Type
Correspondence
PIN
0711723140003
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, . ��t,�,� � ►� � � ,�c�,c� �►�- <br /> J <br /> / 5 � <br /> Total Fee: Date Received: l�' ��'�C'�' ' <br /> Entered By� �� Permit#: � :� J <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) OWNE R CONTRACTOR <br /> JOB SITE ADDRESS: �d�s ��,�1� rr��g� ZIP:���j��y'�j�� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site pa��king is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: L�if�i9� oS , PHONE: (home) v2 O��(�j <br /> (work) �r - �,/7�/�,/O <br /> MAILING ADDRESS: d�S CITY: � ZIP: S5� <br /> CONTRACTOR �S�/T" PHONE: � <br /> CONTACT PERSON: MOBILE/PAGER: F <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: –� <br /> �\ <br /> ARCHITECT/ENGINEER: PHONE: '� <br /> MAILING ADDRESS: CITY: ZIP: � <br /> NAME: REGISTRATION: # � <br /> TYPE OF WORK: New Home Addition Accessory Structure �_ �� <br /> Move Home Remodel/Alteration (ie: Siding, Windows) � <br /> Any earth movement may require MCWD eview and permits! � <br /> PROPOSED WORK(describe in detain: � – � �1 <br /> � <br /> ' - � <br /> STORIES: l SQ.FEET OF EACH FLOOR: 7�D � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED � <br /> � — �. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �Q�O � <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 conformance with the ordinances and codes of the City and with the State Building � <br /> I Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be � <br /> in accordance with the approved plan. <br /> c <br /> f r <br /> APPLICANT'S SIGNATURE: DATE: --c5 �–' <br /> 31 <br />
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