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i • <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 /> THE APPLICANT IS: (circle one) OWNER O CONTRACT� <br /> JOB SITE ADDRESS: 3 S S 4 L r v��q s��l j�V'� ZIP: �� 3 Q f <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes ❑No Ifyes, a special event permit is reguired with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: `V���'� L d� Q PHONE: (home) y 7� - 8 r� 3 <br /> work) <br /> MAILING ADDRESS: 3 S�G ��vi��S��1 crrY: ��Y?��a z�: �S 3 9� <br /> THD At-Home Services Inc. <br /> CONTRACTOR: 2690 Cumberland Pkwy, Ste 300 PHONE: 4Sa 3�/S�G b Z�7 <br /> CONTACT PERSON: _ Cumberland Office Park �' b � r °n� S <br /> MAILING ADDRESS: Atlanta, GA 30339-3913 �' <br /> STATE LICENSE: #_ Lic#20268257 Ph. 763/ 542-8826 DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CTTY: 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 W RK(describe in detain: o? (.�tl1C1�0 G.� �� �la r��rn�S <br /> x�s�� � � r <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��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 SIGNA /v�' DATE: ( ` l �' �0 9 <br /> 31 <br />