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From:ELDER JONES INC 952 854 4909 05/17/2007 14: 11 11253 P.002/003 <br /> ,.-. <br /> • <br /> ( <br /> /c) <br /> Total Fee: $ -� Date Received: /1 C R <br /> Entered By: l-) Permit#: ,P5/ <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 OR€ONTRACTOR <br /> JOB SITE ADDRESS: W L{9 C WC!TC 1 a-ki Jr1 11 d zip: g 3 Sri <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes R-No Iryes, a special event permit is required with Police Department and Cir'Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufciena ore-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: ( (en Chet 1 e r PHONE: (home) iI2/111S-42 66'/ <br /> (work) <br /> MAILING ADDRESS: f�i40 Wp+tis/own CrrY: P). PI dal ZIP: ss 551 <br /> THD At-Home Services, Inc. <br /> CONTRACTOR: Dba The Home Depot At-Home Services •PHONE: cl5a 1 SYS-L 11117 <br /> CONTACT PERSON: — 3200 Cobb Galleria, Suite#200 �pd, m r/dltl' <br /> MAILING ADDRESS: Atlanta, GA 30339 ZIP: Jars- <br /> STATE LICENSE: # License#20268257-763-542-8826 Dt#TE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: 111 G CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(ic; Siding,Windows) <br /> Any earth movement may require MCwD review and permits! <br /> PROPOSED WO (describe in detail): n C . Rt Du ()in . I S 5 <br /> Rep 1 Ct r m i n T be 12 war/Dias, i i1 Et[ /al 1l F P4 S <br /> STORIES: SQ.FEET OF EACH FLOOR: • <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACKED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 11 3, q 32 <br /> I hcrcby 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 /> s'G APPLICANT'S SIGNATURE: DATE: 45 ( 1 7 (6 7 <br /> 31 <br />