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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 CONTRACTOR <br /> JOB SITE ADDRESS: �3 7� !V 61�I'� /�f!Yl Dr ZIP: S 5 3� <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 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 wlll not be allowed. <br /> NAME OF OWNER: �Q r r l Q.- C.l� U C� S [- PHONE: (home)L���g�S•e o� y <br /> rn work) <br /> MAILING ADDRESS: (c3 7� N A�r M �� CITY: / �bU/� ZIP: S S� <br /> � THD At-Home Services, Inc. <br /> CONTRACTOR: 2690 Cumberland Pkwy, Ste 300 PHONE: <br /> CONTACT PERSON: _ Cumberland Office P2.rk AGER: <br /> MAILING ADDRESS: ZIP: <br /> Atlanta, GA 30339-3913 <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 permits! <br /> PROPOSED WORK(describe in detai�: �f G3 I �L1�0 l.� r t D �(� U �J/j��f <br /> In lr �s��f1�y D�l� ��1� �' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(exctuding land): $ � � t � <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 SIGNATLTRE: � DATE: ` �b V <br /> 31 <br /> i <br />