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� <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 ONTRACTOR <br /> JOB SITE ADDRESS: � � 7 � /Y 0 f -T� ��� Dr ZIP: S�3 L y <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes ❑ NO Ifyes, 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 required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: l �l f'r! l C� U Cl 5 � PHONE: (home) 4�r ' � Y�'� <br /> work) <br /> MAILING ADDRESS: � 3 7 U N � r!�) CIT'Y: �l�U Jl (f ZIP;S S3 l. <br /> THD At-Home Services Inc. <br /> CONTRACTOR: 2690 Curnberland Pkwy, Ste 300 pHONE: U Sa 3y5 � L�Y7 <br /> CONTACT PERSON: _ Cumberland Office Park AGER: u tl t 6� �J c j��n, � <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: CITY: 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: � �! �-�j`U ��u r /�1 �1 Q f1/rj/�1� <br /> <Fl lYrS � � d6� 1 ,) »�?!yl <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � 1 b � <br /> I hereby apply for a building permit and I acknowledge thaf 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 �� DATE: �(( 3 r b �f <br /> 31 <br />