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� <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in fu❑ before plan review will be started. <br /> (please print all inforination) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> JOB SITE ADDRESS: L� d v � i�y �s 1�n d zir: S S 3 3 / <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ❑ NO Ifyes, a special event pern:it is reguired with Police Departnient and City Council approval <br /> 60 days prior to the event. Shutde bus service will be i�eguired unless applicant demonstrates <br /> sicfficient on-site parking is available. Non pernzitted events will not be allowed. <br /> NAME OF OWNER: '✓ � � n Q ��'(n'M � pHONE: (home)44� - g � !�7 <br /> MAILING ADDRESS: � v� (work) <br /> 3 �� �s ��n d c�TY: b.rb n b z�: 5 s 3 3 � <br /> THD At-Home Services Inc. „ <br /> CONTRACTOR: 2690 Cumberland Pkwy, Ste 300 PHONE: �5� 34� - L 0y7 <br /> CONTACT PERSON: _ Cumberland Office Park AGER: � b d, p ���(,,r Jo� s <br /> MAILING ADDRESS: Atlanta GA 30339-3913 ZIP: <br /> STATE LICENSE: #_ Lic# 20268257 Ph. 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�:� (��f1 �b LJ !`1 ,� �Q C,L l�'1�l� � <br /> �n �Y� �-�� ��2 ��� �? � n � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ a � � 3 <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 SIGNATLJRE: � DATE: � �� b � <br /> 31 <br />