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_ � <br /> Total Fee: $ /�07� �� Date Received: l� D 3 � <br /> Entered By: Permit#: DD - <br /> CIT� OF ONO - BUILDING P RMIT APPLICATION <br /> All information must be submitted in full be ore plan review will be started. <br /> (please print all info ation) <br /> THE APPLICANT IS: (circle one) OWNER CONTRACTOR <br /> JOB SITE ADDRIESS: 1 3 O S h�v 1� IJi'1 V' L ZIP: SS 3 4 / <br /> Will this be a Parade of Homes,Remodelers Showc e Home or other Display Home? <br /> ❑Yes ❑ NO If yes,a special event permit is required ith Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus ser ice will be required unless applicant demonstrates <br /> sufficient on-site parking is available. N n permitted events will not be allowed. <br /> NAME OF OWNER: �A U 1 W � r PHONE: (home) Q s� �7 I► i?s S 7 <br /> 1�(work) <br /> MAILING ADDRESS: � ��d �J�l�U �/ � CITY: �l1 y Z h TG ZIP: S S 3 R I <br /> CONTRACTOR: THD At-Home Services, I c. pHONE: 4 S� 3K S-(,0 y? <br /> CONTACT PER�ON: Dba The Home Depot At-Ho Services AGER: C(� Q .( �� o/U 1 <br /> MAILING ADDR.ESS:— 3200 Cobb Galleria, Suite 200 Z�. <br /> STATE LICENSE: # - Atlanta, GA 30339 DATE: <br /> — License#20268257 - 763-54 -8826 <br /> ARCHITECT/E1�GINEER: PHONE: <br /> MAILING ADD SS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WOR�: New Home Addition Accessory Structure <br /> ! Move Home Remodel lteration(ie: Siding, Windows) -- <br /> . Any earth movement may req ire MCWD review and permits� <br /> PROPOSED Wo�(describe in detain: � / �S <br /> R c s-f �n �e n� <br /> STORIES: SQ.FEET OF EACH FL OR: <br /> NO. OF BEDRO MS: GARAGE STALLS ATTACHED DETACHED <br /> ESTIMATED CC�NSTRUCTION VALUATION(ex uding land): $ � � 8 � <br /> I hereby apply for a�uilding permit and I acknowledge that t information above is complete and accurate; <br /> that the work will b8 in conformance with the ordinances an codes of the City and with the State Building <br /> Code;that I underst�nd this is not a permit and work is not to s�tart without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNAT'URE• � DATE: �b /� � � g <br /> i <br /> 31 � <br /> I <br />