Laserfiche WebLink
� <br /> � <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 /> (p/ease pr�nt all informatio�i) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle o�ze) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: a�� s �U �w o o � t, �C. ZIp; �S�J � � <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO Ifyes, a special event perntit is required with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus seivice will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-perniitted events will not be allowed. <br /> NAME OF OWNER: �n U l(� V( L j(�( {'I�Cr � PHONE: (hoine) �� � - �L j � <br /> J (work) <br /> MAILING ADDRESS: /Z��$ D U n w�o C(S/CITY:C.JC/�!�ZG�a ZIP: S S 3 4 / <br /> THD At-Home Services, Ine. <br /> CONTRACTOR 2690 Cumberland Pkwy, Ste 300 _PHONE: �f S7 3 U S� L D�/7 <br /> CONTACTPERSON: _ Cumberland Office Park AGER: �bt[, Q �(41r nfl�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 permit�! <br /> PROPOSED WO�(describe in detai�: � L.,1 �/1 C�o W (�{ A1 1 !�n � <br /> S t d1 �' 1 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � � � � <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 SIGNATiJRE: lG-- DATE: � � � 7 <br /> 31 <br />