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RECEPIED <br /> MAY U LULiA <br /> Total Fee: $ Date Received: <br /> CITY OF ORONO <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 OREONTRACTO> <br /> JOB SITE ADDRESS: a 5o d 1-A-)0°ec 110 ut n DP IVY. ZIp: 55 3 5 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> Yes RTC-5 If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient-ion-site parking is available. Non permitted events will not be allowed. <br /> ci <br /> NAME OF OWNER: —10 CT' d t PHONE: (home) (15'12°t `L/o S L <br /> 50 W(A)°"111611/C (work) <br /> MAILING ADDRESS: 0 CITY: L ZIP: 66' 3 5 <br /> CONTRACTOR: THD At-Home Services, Inc. PHONE: S?/$tf C-14 0 <br /> CONTACT PERSON: Dba The Home Depot At Home Services d AGER: J b t i r�4it c' ,�oftc S <br /> MAILING ADDRESS:— 3200 Cobb Galleria, Suite #200 ZIP: <br /> STATE LICENSE: # – Atlanta, GA 30339 DATE: <br /> License#20268257 - 763-542-8826 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: 1)j (,c' CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding, Windows) ✓Any earth movement may require MCWD review and per` ts! <br /> PROPOSED /WORK(describe in detail): q Lu I fl C/D LJ Pf 1 a C!in I1)±S <br /> ii) Q �r ( J-t�'l n D L A i t1 9 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED / DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ! t7�, L "I L <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 /> APPLICANT'S SIGNATUREv DATE: 61/ ( 6 8 <br /> 31 <br />