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/`� � <br /> Total Fee: $ f�/.� `J ' Date Received: ' - -(�/ <br /> Entered By: / Permit #: p�;3. <br /> � �-/.� % <;/ <br /> . �f��'�/,�t <br /> CITY OF RONO - 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 O CONTRACTOR <br /> JOB SITE ADDRESS: �.3.3� /�,L�S�i(,I� �p[ ZIP: J�S3�� <br /> NAME OF OWNER: �OQL�/'t�� Zi4 K� PHONE: (home) �7� ' �z�b <br /> D � (work) ��� ^ (0 03 — <br /> MAILING ADDRESS: /3�l��S"7`1p.,v7`� CITY: �j pu,v0 ZIP: SS3 <br /> CONTRACTOR:���P.��`o�J �-- �-�s-o � rxo�: SS'z- y'7o-,5 7�� <br /> CONTACT PERSON�;C� �j,q,�oi� MOBILE/PAGER: (�/Z �9?�-�/G� <br /> MAILINGADDRESS:lpp r-,�,Q,E,v�,E. D,�. CITY:�"1�C�4. �,¢.y ZIP:SS33/ <br /> STATE LICENSE: # �C - �y� y< <br /> ARCHITECT/ENGINEER: PHOi�TE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition� Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> P POSED WORK(describe in detai�: 84,�,p ,Q-�fi¢C`�,CEp �04 Q�.�' �sS'ti� <br /> ��i4-G�E. �4�t1,r� IP�s;v,� �C,l�c,s�... <br /> STORIES: SQ.FEET OF EACH FLOOR: 7.3 y <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. _� DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��, pOD �`�� <br /> . <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 understand this 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 /> � �_ / <br /> APPLICANT'S SIGNATURE: �....- DATE: k-vE L ZOa <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 />