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01/15/2005 09:21 7634344933 HARMONY HOMES INC PAGE 02 I <br /> T-ATT F•00=/000 <br /> Jan-W2005 00:33u F roe-CITY OF Oi0110 <br /> Total Fee: S �a P0� ' <br /> Entered By. <br /> CITY OF ORONO -BUILDING PEWWr APPLICATION <br /> AJI inforMSUOU must be submitted in fuplea rrriew wM be varted. <br /> �\\ (please print all I nArmatiOn) <br /> THEe�pPLlC.ii,YT IS: (elrcle one) OWNER OR ONTRACTO <br /> JOB sM ADDRESS: ,j4�T'onl,u -ZII': 55 <br /> Will this be a P&rVM of Bowes,Remodelers Showcase Home or other Display Home." <br /> Yes LZ No yyes, a special event pemit is required with Police Department and 61y <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> �,�� : <br /> N,a,�til'E OF Oy�� ��R: t �h�c 2��-1?gin PHONE: (home) <br /> MAILLYG ADDRESS: I ISb Toti6vok, koad CITY: Q r°1*0 ZIP: 535GI— <br /> CONTRACTOR: Ilwrw�s ,�c- (PHONE: �_63-y13•ilo� <br /> CONTACT PERSON: >�' A alA&Wk � MOBILEIPAGER: <br /> MAILING ADDRESS: VI' CITY: hn ZIP: �_ <br /> STATE LICENSE: #—A—r--AD S O <br /> ARCHTrEC'T/ENi GLNFEPU k$OYE: <br /> 1NIAILING ADDRESS: CITY • _._-� <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Struature <br /> Addition Move <br /> Remodel/Alteration V Land Alteration <br /> PROPOSED WORK(describe in da-da): <br /> atm n, �l cct•Sl - N A:0- <br /> STORIES:, SQ. FEET OF EACH FLOOR:�• <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET., ., <br /> ESTIMATED CONSTRUCTION VALIDATION (excluding land): S •O ti <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in confoxma nce with the ordinances and codes of the City and with the State Building Code;%l at I <br /> understand this is not s permit and work is not to staff without a permit;and that the work will be in accordaaee nth <br /> the approved p1m. <br /> APPLICANT'S SIPN ADATE: 3-Ir-or <br />