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� Total Fee: $ DateReceived: <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 ONTRACTOR . <br /> JOB SITE ADDRESS: a a �3 5 h�,cr y w o e Cl f5 �l ZIP: 5S 3 R � <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �',NO Ifyes, a special event permit is reguired with Police Department and Ciry Council approva! <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: cj►1 1 /' l A 1/ /Qb C[ L W G7 �� PHONE: (home) ��1" �L y� <br /> MAILING ADDRESS: o�v�4 3 �j�1(1(L��(�d0� CITY: (,•�ll W�ZIP:-SS'3 q 1 <br /> THD At-Home Services Inc. <br /> CONTRACTOR: ' PHONE: �S.Z 13 4 B-4 o y 7 <br /> Dba The Home Depot At-Home Services <br /> CONTACT PERSON: _ 3200 Cobb Galleria Suite #200 AGER: c/r l��!' <br /> MAILING ADDRESS: _ Atlanta, GA 30339 � ZIP: �S <br /> STATE LICENSE: #_ License#20268257- 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 RemodeUAlteration(ie: Siding, Windows) � <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED W RK(describe in detain: `S L��nit�0 !,v l'{ 4�lQ C�/�t,� � S <br /> � .�YIS�/� (5 � In S <br /> STORIES: SQ.FEET OF EACH FLOOR: � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ a b� � <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: �( �� a a <br /> 31 <br />