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May. 23. 2006 5: 28AM Elder Jones Permitti �g No, 5089 P, 2 <br /> � �� <br /> Total Fee: $ >-��7�. � `' Date Received: -1%J,= ? C%C:- <br /> Entered By: �/>, Permrt#• -'%;-��� ������� <br /> CITY OF ORONO —BUrLDING PERNIIT APPLICATION <br /> All information must be submitted in full befoxe plan re�view will be started. - <br /> (please print all informution) <br /> T�[E APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOBSITEADDRESS: 66� . M,nryEr�r,cv ia�6yc.�r,rOs (.n�� �p; 553Sb _ . <br /> Will this be a P�rade of Homes,l2emodelers Showc�se$vme or other Display Home? <br /> ❑Yes �✓ NO lfyes,a special event permit Gv requned with Pollce Depmtment and City Council approva! <br /> 60days,p�ior to the event. Shuttle bus service will be te�uired urrless appllcantdemonstrates <br /> su„�clen!on-site parking is avaiJable. Non-perm�tted evenls will not 8e ullawed <br /> NAME OF OWNE1t: (�0(3 l-�1M�1+�^. P$O1VE: (home) qS2. 47b•1�'��. <br /> � (work) � <br /> MAn.IlV�G�DRESS: 66 q �n�rrN�t'a,�a N►c�+vi,ro�s�zT y: o�and z�: �sb • . <br /> C4NTRACx'OR: ��t-�iome Services,Inc. <br /> Dba Tlae�iome Depot At-Home Sesvices PH��' <br /> CONTACT PERSON: _ 3200 Cobb Galleria, Suite#200 , AGER: . <br /> MAxLINGADARESS: _ A��� GA 30339 �' <br /> 5'I'ATE LICENSE: # License#20268257-763-542-8826 DATE: <br /> ARCHl,'I'ECT/ENGYNEER: �`( PHONE: <br /> MAYL.ING A,DDRESS• ��y �p. <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Acce ory Structure <br /> Move I�ome RemodeUAlteration (ie idin VJiudows) <br /> Any ear�h movemen� may require MCPTD re and permita!� _ <br /> PROPOSED WORK(describe in detai�: —Pv��C St A� F /�N� sa� F- �r'U.� <br /> /35G1/� �50 Flr i f . <br /> STORIES: SQ.�'EET OF EACH FLOOR: . <br /> NO. OF BEDROOIVIS: GARAGE STALLS: ATTA�SED DETAC$ED � <br /> ESTIME�'�'ED CONSTRUCTION'VALUATION(ezcluding land): S (5 I �,`�' <br /> I hexeby apply fot a building peimit aud I ac�owledge that the information above is coxnplete and accurate; <br /> that the work will be in conforrt�ance with the ordinances at�d codes of the City and with the State Building <br /> Code;that I understand this is not a pezmit and work is not to start w�ithout a pernlit;and that the wor�C will be <br /> in accordance with the approved plan. <br /> APPLICAIVT'S SIGNATURE: v- �s� . S Z3� <br /> )ATE. K <br /> 31 <br />