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10/20/2009 13:41 7634344933 HARMONY HOMES INC PAGE 04 <br /> Total Fee: S �' �! Date Received: 10/2j/O <br /> Entered By: Permit#: —O <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 UU <br /> JOB SITE ADDRESS: 13 VO &E. PIVV- � TZIP: 0 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes M No Ifyes, a special event permit is required with Police Department and Ciry Council approval <br /> 60 days prior io the event. Shuttle bus service will he required unless applicant demonstrates <br /> uicient on-site parking is available. Non permirted events will not be allowed. <br /> NAME OF OWNER. CIL- g PHONE: (ktome) 7rZ 177-51 <br /> P <br /> n (work) <br /> MAILING ADDRESS: 3 l f- CITY: kM ZIP: f 5 q(a <br /> CONTRACTOR: eok L PHONE: 174 S-O�Z <br /> CONTACT PERS 14 MOBILE/PAGER: 11 Z� -d5z L <br /> MAILING ADDRESS: t 7-N m CITY: 1 ZIP- SLI0 3 <br /> STATE LICENSE: #� ��s '� EXPIRATION DATE: 3 t <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGIS'T'RATION: # <br /> TYPE OF WORK: New Home Addition Accessory tore <br /> Move Home Remodel/Alteration(ie: Siding, indow5 �A� g <br /> Any earth mov t may require MCWD re ' ew and rmats! <br /> PROPOSED WORK(describe in Wall): I mo,*1 Z N-Ma Qp IZ S <br /> P T'b -- <br /> S ORIES: SQ.FEET OF EACH FLOOR: <br /> .OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S ( 5 <br /> II iereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> th it the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> C dc;that 1 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 approv <br /> f4APPLICANT'S SIGNATURE• DATE: Lo—1-6 - <br /> 3l <br />