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I <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 CONTRALTO <br /> JOB SITE ADDRESS: a a 0 1V0 t4h Q44Q_ k9p d Cl zip: S 5 .3 1 <br /> l <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes NNo 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 /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAMEOF OWNER: 1. t C t l 5-C -0- PHONE: (home) '17 3- G 8 8'7 <br /> �J f (work) <br /> � <br /> MAILING ADDRESS: p O - f m ew/t 1-WITY: Ofb n o ZIP: 66 3 Q' / <br /> THD At-Home Services Inc. <br /> CONTRACTOR: Dba The Home Depot At-Home Services PHONE: QST 3�t5"- t d Y'] <br /> CONTACT PERSON: AGER:_10 Ch f r 6 JU S <br /> MAILING ADDRESS: 3200 Cobb Galleria, Suite#200 ZIP: <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 Remodel/Alteration(ie: Siding,Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): PO <br /> in <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> 1 hereby apply for a building permit and Iacknowledge 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 SIGNATURE• 4r.'" DATE: I/ <br /> 31 <br />