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07/2412067 14:18 7634344933 HARMONV HOMES INC PAGE 02 <br /> . ��W— <br /> . � � <br /> _ �a� ,��1 <br /> . �� <br /> � <br /> Total Fee: $ 7�•� + �•� DateReceived: �•Z4•�7 <br /> Entered By: ,_ C.p'Y�rv� _ Permit#• A t(�SO <br /> C�TY OF ORONO - BU���DiNG PERMIT APPLiCATTON <br /> A�I information must be submitt�d in fuil before plan review will be started., <br /> (please pi�int all information) <br /> THE APPLICANT l:S: (circle nne) , OWITER O.R ONTRAC�'O. <br /> ,105 SITE ADDRESS:Z� ��►JC�_;�I�-h. t2�1 ZIP: �J�� `� / <br /> Will this be a P�rade of Homes, Reimoded,ers Showcase Ho�e or other D�splay Honn�e? <br /> ❑ Yes �No .l�yes, a specia!even�perrrhit rs reqi�ired u�i�h Police Depar�rnen�and Ciry Coamci/npprova! <br /> 60 day.�prinr<<�the evenr. :Shul�le bus servi.�•e will he�•egzn:red r.inless applican�dernnns[ra�es <br /> ,sa ffrcient on-sire parking►ls a�•arlobl�, Non-ne�•mitted evenls tivi(1 no�bs allowed. <br /> NAME OF OWNER: �J 17R� IJ��T�h�1 PHONE: (home) •• �3' 3�I <br /> ; (work) <br /> �VIAILING ADDRESS:Z�� �r�.�+liL., �� CITY, ZIP: � ? <br /> CO�i'I'RACTOR: �a�V�lo PHONE:'1��-�I��J-l��(� <br /> CONTACT PERS�N: �a v•�- � MOSiLE/PAGER: ln�z -Z 3 S(-�s z-2 <br /> MA�T..ING ADDRESS: I SK ��cL��vb ���I+�� N�- _ __CITX:W����w wV ZIP: �'i5��t 2 <br /> � STATE LICENSE: # �c�5 0 $�3 EXPIRATZO�i DATE: '3—� I � ?—o �� Sf <br /> ARCH�TECT/E�iGT�1EER: PI�ONE: <br /> MAILING ADDRE�S; CITY: ZIP: <br /> NAME: RECYSTRATION: # ' <br /> TYPE OF WORK: NEw Homc Addition Accessory Structure <br /> Move Home Rcmodcl/Aateration.(ie� 5iding indow )� <br /> Any earth movem!ent may require MCWD reView and permit�! <br /> PROPOS�D WOR�:(descrihe in detai�: j��pl►4c^� 2� vv i N�owS E j ���„Jow <br /> SRS �t N o C.i�M.�,-� -�-� ��-c�u c�tr o A�w,..n�S <br /> STORIES: SQ.FEFT 01F EACH FJ�OOR: <br /> NO. OF SEDROOMS: GARA�E STALJ�S: ATTACHED DETACHED <br /> �. <br /> ESTyMATED CONSTRUCTION VALU.�4TION(excludiz�g la�d): � �� <br /> I hereby apply for 1 butlding permit and i acknonvledge that thc infoiznati�n ahovc is completc and.accuratc; <br /> that the work will bc in conformancc with the o�rdinances 1nd codes of tl�e City�nc1 wicl�.the Scate Building <br /> Codc;th��t 1�indcrst�nd this is not a pennit and work is pot to statT without a�em�it;and that the wc�rk will be <br /> in accordancc wilh thc�pprovcd plan. ' <br /> APPLICANT'S SIGNATU�iE:r DAT�: �� Z��' d � <br /> � <br /> 31 <br />