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2004-P06944 - addn/remodel/repair
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Dickey Lake Drive
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770 Dickey Lake Drive - 27-118-23-33-0010
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2004-P06944 - addn/remodel/repair
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Last modified
8/22/2023 4:20:45 PM
Creation date
7/6/2016 12:15:03 PM
Metadata
Fields
Template:
x Address Old
House Number
770
Street Name
Dickey Lake
Street Type
Drive
Address
770 Dickey Lake Drive
Document Type
Permits/Inspections
PIN
2711823330010
Supplemental fields
ProcessedPID
Updated
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� <br /> Total Fee: $_�, �;(�� ( � ��� �' Date Received: � ��' �� ��' �� - <br /> Entered By: ��� Permit#: ,�� �,`�G 9 y�f <br /> ���n �_� I C; � �i �C'�� <br /> ` \ CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ,�' �' ��J <br /> � � � �� '� All information must be'submitted in full before plan review will be started. <br /> �� �� ' �; �� � • � � ; (please pr�r:t all information) <br /> ` \------------'-"----------�^= -�i �-�� - e--.j�--��-�^=�--L-ti��---L-'�-=---------------------------------------------------- <br /> \ THE APPLICANT IS: (circle�o�ne) 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 If yes, a special event permit is required with Police Department and City <br /> Coa�ncil approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <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: # <br /> �a... <br /> -,-�.. <br /> ARCHITECT/ENGINEER: � ���, ��� - � �� � PHONE: �� � �� � � <br /> MAILING ADDRESS: CITY: ` ZIP: ' - <br /> , <br /> NAME: ' � �� ; , ; , � � REGISTRATION # <br /> TYPE OF WORK: New <br /> Additi � � T�,% <br /> Remo� <br /> ����� �-" r �� �.►�P �2 <br /> PROPOSED `VORK(desa ,�/��, � ��� � <br /> (�(�� (� �`��/�-� <br /> �- � <br /> sTo2uEs: � �`,`�.1`�` , , � - - <br /> NO. OF BEDROOMS: _ � �� �,� �- � � �'� �_ � <br /> `� L� �`J � _i'� ���-�,���, ' � ,� �. <br /> ESTIMATED CONSTRU� �(�� ,�:� � �� (;-�n , � �,� 1 ` <br /> �\ ) 1 � / � `_� ; � C�� ��� <br /> . � <br /> I hereby apply for a building pe /" � '� �" � ~`�' he <br /> work will be in conformance � -�� �:�� �� �' ,�` '� , y� � t I <br /> understand this is not a permit � , � ith <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: - DATE: <br />
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