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� <br /> J <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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: � � � � CC1 �('O YT' �� ZIp; 5 S 3�' � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ❑ NO Ifyes, a special event pernrit is reguired with Police Departrnent and Ciry Counci!appi•oval <br /> 60 days prior to the event. Shuttle bus se�vice will be required unless applicant de»ionstrates <br /> su�cient on-site parking is available. Non permitted events will not 6e allowed. <br /> NAME OF OWNER: f�� � hn rQ Po �m t� PHONE: (home) �Sa �Y�! • $Q o U <br /> �work) <br /> MAILING ADDRESS: a�I o Ca s c o �t ��l ciTY: ���y z c� � zrn: S 3 r/ <br /> THD At-Home Services Inc. <br /> CONTRACTOR: ' PHONE• �l Sa r 34S �G 0�l7 <br /> CONTACTPERSON: Dba The Home Depot At-Home Services �R: I 0�Ir o �ld�r Jon�s <br /> — 3200 Cobb Galleria, Suite #200 `� <br /> iVIAILING ADDRESS: _ Atlanta GA 30339 ZIP: <br /> STATE LICENSE: #._ License#20268257 - 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 Remodel/Alteration(ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK describe in detai L <br /> ( �� �{ l.�i�lC�ol.� l�'f ,DI�G /n�f) (-S <br /> �n ,�k�s �� ��� OD.tn�l1�'i S <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAG� STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ c� �� a <br /> i <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 confarmance 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 /> �PLI��T'S SIGNATURE: %=" DATE: _ $ (a r ��� <br /> 31 <br />