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05/20/2909 11:15 ?634344933 HARMONY HOMES INC PAGE 02 <br /> / <br /> � YII� 0� _ <br /> « L J�� <br /> �" �� <br /> �1 �r�� <br /> Total Fee: S � .T� Date Received• S"�' <br /> Entered Sy: � �s �ertnit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICAT�ON <br /> Atl information must be submitted in ful[ befare plan review will be started. <br /> (please prin!all infnrmation) <br /> THE APPL�CANT IS: (circle one) OWNER OR ONTRACTOR <br /> .iOB SITE ADARESS: /�ro Sfr'/�/�S/lil/00(� �(� ZIP: �S q <br /> Will this be a Parade of Honn�es, Remodelers SLowcase Home or vther Display I�vme? <br /> ❑�(CS ❑ �10 �ly�s,a specia!event permit is required with Police Depa�tmenl and Ci1v Counci!appmval <br /> 60 days prinr to the evenl. Shutlle hus.cervice will be required unless crpplicant dernonsnntes <br /> su�cienl on-site parkin�is ovailable. Non permil�ed events wil!nol be ellowed. <br /> NAME OF OW�1ER: � �+� 11/� I� PHONE: (home) �o�2'�Sb U—lo�3� <br /> (work) <br /> � MAIL�IG�IDDRE5S:� � � CiTY: 4 ZIP: SS3R_! <br /> CONTRACTOR:����O �^ PHONE: �01 Z-Z�i �pS� <br /> CONTACT PERSON: ��t� OB�� AGER:(�1 �Ip � I <br /> MAILI�IG E#DDRESS: ��24 W��IT�Y_ ST IJ� C� :M�u1d�Do1�s Z�P: � <br /> � STATE LICENSE: #�.O o 1 Fr k'3 E7�IRATION DATE: �—3 I —Zo i 0 <br /> ARCHITECT/ENGINEER: PHONE: <br /> lv[.A��L�NG ADDRESS: CITX: ZIP: <br /> NAN[E: REGTSTRATION: # <br /> TYPE OF WORK: New Home Addition A,ccesso tructure <br /> Move Home Rem,odel/Alteration(ie: Siding, indo � � <br /> Any eartkl mov�men may require MCWD rev�,ew and permits! <br /> PROt �OSFD�V RK(describe in detai :,���1E;e��l/� �p Gtl/n//�Oiv� <br /> /V 6 ��1��. "� 2crl���S <br /> STORI�S: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED AE�'A,CHED <br /> ESTTI�iATED CONSTRUC'�'�ON VA�UATION(excluding land): $ ��Ji 7�� <br /> I hereby apply for�building permit and I Acknowlcdge that the information above is comPlete and accurate; <br /> ehae the work will be in conformancc with thc ordinanccs and codcs of the City�nd with the State Building <br /> Code;that 1 under5tand this is not u penrit and work is not to sta�n witbout a pern,it;and th�t thc work will be <br /> in accordance with the approved plan. ' <br /> A,P�'�.�CAN'1.''S SIGNA'�'URE: DATE: ��'' � <br /> 31 <br />