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� , . . <br /> Total Fee: $ DateReceived: <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�C�ONTRACTOR <br /> JOB SITE ADDRESS: o�O � O N�o r�h 5 h o�e �� z�: 's'�3 9 / <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 approva! <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: ��/� G l�D ff-�/`� (/ PHONE: (home) �S� 5 L�• ��O p <br /> (work) <br /> MAILING ADDRESS: oZ�(� � t V �J' Il b rC �/' CTTY: /1 O ZIP: 5'S 3 4 / <br /> CONTRACTOR: THD At-Home Services, Inc. pHONE: y Sa 3 y S�G 0 47 <br /> CONTACT PERSON: Dba The Home Depot At-Home Services AGER: Jd!/� d ,�ld�r Jo�c s <br /> MAILING ADDRESS•— 3200 Cobb Galleria, Suite #200 Z�. <br /> STATE LICENSE: # • - Atlanta, GA 30339 DATE: <br /> — License#20268257-763-542-8826 <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 /> PROPO ED WORK�escribe in detain: 1 r 0 �U �' � l0 <br /> f C l� S / 'X S � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /V, 0 S � <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: -G--� DATE: � 6 � Z O V <br /> 31 <br />