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Ae - 12-01 03 : OOP P _ 02 <br /> Iff C 1 CC4Y4b 1 b 05/10/99 10:31 t 1 :03/08 N0:210 <br /> Total Fee: $ Due Received- C;/ <br /> g <br /> Entered By` Permit d: G <br /> CITY OF ORONO - WELDING PERMIT APPLICATION <br /> AU Information must be submitted in fuU before plan rtvie v will be started. <br /> (please print all irLfomu ran) <br /> TSE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: - U WaKzPi e iQ 'gid, ZIP: G S <br /> NAME OF OWNER: Ca hn 13��0 PHONE: (hoLn <br /> r w rk) <br /> ES <br /> MAILING ADDRS: X) wakV-6 M eM CITY: 0. 0 ZIP: s <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON:J U MOBUXPAGER: <br /> MAILV;G ADDRESS:` ', CITY: in ZIP: L O <br /> STATE LICENSE: N a,DJCQO(9_'j ` <br /> ARCMUCTIENGINEER: PHONE: <br /> MAMING ADDRESS: CITY: Zj[P: <br /> NAME: REGISTRATION p <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration_ C, Land Alteration <br /> PROPOSED WORK(describe to dera10- ' a <br /> ,J <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS! ATT. DET. <br /> ESTMIATED CONSTRUCTION VALUATION (excluding land): S I E)_7 <br /> I hereby apply for a building petailt and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with rile ordinances and codes of the City and with <br /> ibe State Buiidtng Code; that I understand Ibis is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: 1 <br /> NOTEI PgMde jtf RoMf events require separate permit approval by Police Department and <br /> GYty Council 60 days prior to the event. Nora permitted events will not be allowed. <br />