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1 <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 /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CCONTRACTO <br /> JOB SITE ADDRESS: G G 9 /�/�q1, �A(et �1 q �!j�'�'1 dS �ZIP: 5 $ 3 S � <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 Ciry Council approval <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: n � b t �r (�U M,oh r� y PHONE: (home)Y 7 L • ��l�( �( <br /> L L 4 /Y1��n. �{ /o� work) <br /> MAILING ADDRESS: �1 CTI'Y: �0�� �Q � ZIP: <br /> THD At-Home Services, Inc. <br /> CONTRACTOR: 2690 Cumberland Pkwy, Ste 300 PHONE: �tS� 34�-l.0�(� <br /> CONTACT PERSON: _ Cumberland Office Park AGER: ed� a �1d�1 J o n� S <br /> MAILING ADDRESS: ' Atlanta, GA 30339-3913 Z�' <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 WO�(describe in detain: f (,�Q f 10 �p�f' /`/���} G�/11 � <br /> ��1 Q V I 3 �/1�► 0 D,��'11 �1 � C <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ o� vZ $ Q <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'SSIGNA � DA�; ��(�( O q <br /> 31 <br />