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i v: vtv,vv v 1w-tr. N.7 IV VY/Srf/70 I`t.VV (J .'U‘/U.) NU:)4, <br /> Total. Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO v BUILDING PERMIT APPLICATION <br /> All information must be submitted In full before plan review will be started. <br /> (please prim all information) <br /> THE APPLICANT 3S: (circle one) OWNER 0CONTRACTOR_" '__� <br /> • <br /> JOB SITE ADDRESS: `l`i US,\A\M.Pi ...\-7r40:, 1 ZIP: ��3Co <br /> NAME OF OWNER: Nan. .M.0.)(S O-\ PHONE: (home)95Yi iltotLf <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR; RMA Home Depot Installed Sales :® � • <br /> COACT PERSON: 3200 Cobb eri <br /> Atlanta,GAGall30339a Parkway Ste.#200 GER: <br /> • MAILING ADDRESS: 763-542-8826 ZIP: <br /> 'STATE LICENSE: # License#BC-20268257 <br /> . ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> • <br /> • <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail)•Rn\C), <br /> Dc.s4:1,03 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> O° <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 51 a} 3 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in ac••rdance with the approved plan. <br /> APPLICANT'S SIGNATURE: 41. ... .G'A l ♦ DATE: 5R <br /> t.07 <br /> NOTE! ,Parade o Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> RoroiuoA r; C OA 1 . AODU <br />