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e.d t t. vt vttvvr aIg`t(�id.71y V7/S'#/79 <br /> L]' :ue/tea Nu:)ee <br /> Total Fee: <br /> — Date Received: <br /> Entered By: Permit#: <br /> CI'T'Y OF ORONO m BUILDING PERMYT APPLICATION <br /> Alt Information must be submitted in full A�fo>re plan review will be started. <br /> (please print all inforrnarion) <br /> —-----......----_-__-a-------- —1—--------- <br /> THE <br /> TIE APPLICANT IS: (circle One) OWNER OR CONTRACTOR <br /> ... <br /> JOB SITE ADDRESS: —4 o-1 ZII': <br /> ..'. <br /> NAME OF 0 R:�00.� FH®lam: (Dome)jS <br /> (work) -(� ' � <br /> MAILINGADDRESS: CTS: ZIP: <br /> CONTRACTOR; The Home Depot A.H.S. [ONE: ' <br /> CONTACT PERS6-77 3200 Cobb Galleria Pkwy.,Ste.#200-- Off. -- <br /> Atlanta,GA 30339 <br /> MAMG ADDRESS:_ 763-542-8826 ZIP: <br /> S'P'ATE LICErft: M BC-20268257 <br /> ARCHM- ECT/ENGINEER: PYRONE: <br /> MAILING ADDRESS; CITE: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration band Alteration <br /> PR,OPOS�?WO (describe in detail): <br /> `C <br /> STORIES: SQ,FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: .ATT. <br /> DET. <br /> MATED CONSTRUCTION VALUATION(excluding lana): $ <br /> 1.hereby apply for a building permit and I acknowledge that the information above is complete and <br /> ccurate; that the work will be in eonforruance with the ordinances and rpodes of the City and with <br /> the State Building Code; that I understand this is not a <br /> permit and work is not to §tagt without a <br /> Permit; and that the work will be accordance with the approved plan. <br /> APPLICANT'S SIGNATURE• Al <br /> NOTE! ,Parade Fav_ mes events require sepUde Permit approval by Police Department and <br /> City Corincit 60 days prior to the event. Non pennitted everts will not be allowed. <br /> • ---- <br />