Laserfiche WebLink
T � <br /> 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 /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: !� a � 51 �T`1 �y'L N ZIP: � 5 3 � � <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 Ciry Council approval <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: �� o� �0�`I��S u lI PHONE: (home) ��R' �� � l <br /> MAILING ADDRESS: lS a1 S� S 1�� � �" / (work) S � <br /> Y� CITY: 0!1l'i C d �Ct ZIP: � � <br /> THD At-Home Services, Inc. <br /> CONTRACTOR: 2690 Cumberland Pkwy, Ste 300 PHONE• Sa 34 S'•G 0�/7 <br /> CONTACT PERSON: _ Cumberland Office Park AGER:� 0 d� A �l A�� o N i <br /> MAILINGADDRESS: Atlanta, GA 30339-3913 Z�' <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 RemodeUAlteration(ie: Siding,Windows) - <br /> . Any earth movement may require MCWD review and permits! . <br /> PROPO�E�D WORK �scribe isz detain: Q! � l�u U� Q�l �0 tJ 4 C (rt� <br /> . f <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � L, 8 3 7 <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 /> APPLICANI''S SIGNATURE: ��' --� DATE: � ( � � � � � <br /> 31 <br />