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� 01/�0/2b88 09:52 7634344933 HAR�VfONY HOMES INC PAGE 02 <br /> `fotal Fee: $_ �sl, a� Date Rece�ved: Q���/D <br /> Entered By: Permit#: �� �j' <br /> CYT� C1F ORONO - BUILDING PERIWIIT APPLIC,A,TION <br /> A!1 informa�io� must be subnnitt2d in full hefore plan rcview will be statted. <br /> (pleQse p�int al!infnrmat�vn) <br /> �_____ ----__----- <br /> THE APPLZCA�1�' IS: (cir�le one) QW.NER O �CONTRACTOR <br /> .ro$S�TE AD1�1��SS: 9 5S � ��s . P—a ZIP: S5 `�J� / <br /> Will this be a �arade of Homes, Remode�ers �howcase Honne or other Display Home? <br /> ❑Yes � I°�10 If yes, a.cpecial event perriil�:��-equired u�illa f'o/ice De/�artmen�and Crry Cnun�i!opproi�al <br /> 60 day.r prior to rhe event, Sh�rrr/e bcrs.service ti�i!1!�e i-c�q�.r;red unles,s arrlicUn�demons�rares <br /> .ru�cien�nn-sile parlrrng fs Q�•ailpble. Non�ermilted��venls wi(/not he allqwad, <br /> NAME UF O'V�TER: K�I Ew� l�A __ pxoNE: ��am�� aSZ-y7/�03�7 <br /> (work) � <br /> MAILING ADDR.�SS:14 5s �Alc�uua�s5 � Q�'CIT'Y: �ILC11�0 ^_ZIP: 5,3�I <br /> CONTRACTOR: �e�141,,; u S PHONE: ��l I — � o <br /> CONTACT P.F,.RSOPtT: R.�o�tJo .�; MO�B.�Z,�/pAGER: ` <br /> MAILIN'G ADARE�S: ��L��u vJ r�TY: 1�11� �, � ZIP: 'i�y <br /> S'TA'X'.F.LICENSE: # LO � EXP�RATION DATE: '�j�3� , a � <br /> ARCHJTECT/EI�lGYNEER; PHONE: <br /> MAILING A.DDR.E�S: C�iTX: Z�p; <br /> NAME; R.E�GISTRATI0�1: # <br /> TYpE OF�%VORK: New IToznc Addition. Accessory Structurc <br /> Move ilome RemodcUAltct�tion (ie: Siding, Windows) ,� <br /> Any earth movem� t may r�qu.i..re MC revi gw and permits! <br /> P�OPOS�ED W���des�c,ribe in dit�xK�: / , �p�t�t l� `,f r.,r i 1 <br /> STORY�S: SQ.FEET OF EAC�T FLOOlt�: <br /> NO. OF S�DROO11�rrT5: GARAG.E STALi,S: ATTAC�IED DETACHED <br /> ESTIl�IATCD C61�f�'TRUCTI'ON VALUATION(excludi�n.g land): g � g / � <br /> I hercby app(y Cor a builciing permit and I ackno�vledge chat thc info�rmati�n above is ec�mplete and accura.te; <br /> that the�vork will be in eo�formance with thc vrdinanccs and codcti of the City anci with the State Building <br /> Cod�; l.hat i undcrstlnd this is not a permit and�vock is not to st�trt withou�a permit;and chal thc work will bc <br /> in accord�►ncc wida t(�c�t�proved pl.an, , <br /> APPLTCAN"li''S S'lG�fATURF; •� DATE: (� � � <br /> 31 <br />