Laserfiche WebLink
( : <br /> � <br /> j a � <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submjtted in full before plan review will be started. <br /> (p[ease print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTO <br /> JOB SITE ADDRESS: � U �� J Q I L fYl �O V /`� ZIP: 5 S^� '� L <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO Ifyes, 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 /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: l. n u �a- � � r S L h pC r�' pHONE: (home) y 7 3 • 7 y o V <br /> / > work) <br /> MAILING ADDRESS: a�n 8 � S L��1 � ��' CITY: L.��1 LC) ZIP: S S 3 S (. <br /> THD At-Home Services, Inc. <br /> CONTRACTOR: 2690 Cumberland Pkwy, Ste 300 PHONE: <br /> CONTACT PERSON: _ Cumberland Office Park AGER: <br /> MAILING ADDRESS: ZIP: <br /> Atlanta, GA 30339-3913 <br /> STATE LICENSE: #_ Lic#20268257 Ph. 763/ 542-8826 DATE: <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 review and permits! <br /> PR i��D WO���scribe in detain: ! � W t �!'�D L.l !"! D 1 R G �1�l�f <br /> '1<< ) � / O �,P� i /1 d <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �� � � u <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 /> 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 /> APPLICANT'S SIGNATURE: � DATE: <br /> � � 4 �05 <br /> 31 <br />