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Total Fee: $ Date Received: <br /> Entered By: �f ILS Permit#: ��2� <br /> ' CITY OF ORONO - WELDING PERNIIT 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 97ZONTRACT0R - <br /> JOB SITE ADDRESS: 102-0 To n �a wa R�• ZIP: <br /> NAME OF OWNER. L> o tAa I(�gr%1 S PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: ( 02-0 CITY: O ro n® ZIP: ES?ti G <br /> CONTRACTOR: L <br /> CTt7 �G.� �i c, n m� C PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: (o(Z 7o3—ZZ'_3 <br /> MAILING ADDRESS: 1 O 12 ff W CITY: l''�'�nc-�n k o� ZIP: 3q <br /> STATE LICENSE: #���2 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: _ ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail). <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> I hereby apply for a building permit and'I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I u—nderstand this is not a permit and work of to start without a <br /> permit; and that the work will be ' cordance with the approved n. <br /> APPLICANT'S SIGNATURE• K. <br /> $ <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />