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�o <br /> 1�� <br /> . •Total Fee: $ Date Received: <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: �j�gcj �,(�p� �.� �� . ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO If yes, a special event permit is required with Police Department and City Council approva! <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER:���(�3 �t•.2.�� PHONE: (home) �. -��-�'f� <br /> �, (work) <br /> MAILING ADDRESS: � CITY: ZIP: <br /> THD At-Home Services Inc. <br /> CONTRACTOR: Dba The Home Depot At-Home Services PHONE: <br /> CONTACT PERSON: _ 3200 Cobb Galleria Suite #200 AGER: <br /> MAILING ADDRESS: _ Atlanta, GA 30339 � Z�' <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 RemodeUAlteration(ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�:��pl � �� l .�n I(�[��,��� ��',(� <br /> i S �_�p�m, - <br /> � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� �lp� �/ <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 SIGNATURE: �� ��DATE: ���1� <br /> 31 <br />