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� _ _ <br /> CITY OF �RONO - BIIILDING PERMIT APPLICATION <br /> �� --� � Date Received: <br /> Total Fee: $ <br /> � Date A�orove�: ' <br /> �J - ` �r / <br /> Entered By: , � Permit�. ,_`����� <br /> ! �" F ii 1 �j �� �_; <br /> J __ . <br /> AT,T• INgpRMATION MIIST BS SIIBMITTED IN FIILL BEFORE PI.AN R��7IEW WILZ� BE SgARTF.D <br /> (See Check-off.,_List Encl.osed) <br /> ' �>------ ----------------------- <br /> ----------------- <br /> ------ --- - <br /> 3'HE p1ppI,IC�,NT Ig: (circl.e on�) OLVNER �r �TRAC^_'OR <br /> JOB SITE ADDRRSS: �`� Jr� �✓�'��rC ' � / � ' ZIP: <br /> �� - �1�� <br /> ,r,, (work)�� ' <br />- - - � � %�����--- — : (h ome) �i ' 7��� <br /> NAME OF OWNERs �� " <br /> , ., , ///� /' ` r-, �' ,-. -/� <br />—______----- - - - - /�`�/� /� �� � � � � ZIP: �S% � <br /> 1KATLING ADDRESS� �(y`�"(/ u� �i��� ��'!`'�CITY: L . �� � <br /> __ PHONE: <br /> CONTRAC'rOR: -� <br /> �� ,/J�� � CITY- -��.�7�� ZIP- ������ <br /> MATLING ADDRESS: 7`/ � <br /> STATE I.ICENSE: � <br /> PHONE- <br /> ARCHITECT/ENGINEER: <br /> MAILING ADDR.ESS: <br /> CITY: ZIP: <br /> REGISTRATION T <br /> NAME: <br /> TYPE OF WOR.R: New Addition Accessory Structure <br /> Move <br /> Demo Remodei/Alteration Renovate Land Alteration <br /> - ��Z,�;,� �� ��2� ,L-,� .��,.� /�' �C�� <br /> PROPOS WORK descr' e in etai ) ' � <br /> ,��/ ;� L,�,, �� - <br /> < " �c; � _ <br /> STORIES: SQ. FEET OF EAC.S FLOOR: <br /> NO. OF BEDROOMS: G.ARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) � $ <br /> I hereby appl.y for a buil.ding permit and I acknowledge that the information <br /> above is complete and accurate; that the wor will be in conformance with the <br /> ordinances and codes of the City and wit �he State Building Co eT�i haand <br /> t to start without a p <br /> understand this is not a permit nd work � '� roved lan. � <br /> that the work will be in accor ce with e PP P <br /> �, �,'� DATE s � /" —/� <br /> APPLICANT'S SIGNATDRE: ��'����� �� <br /> .Z-��' �t <br /> . _ . � ,� - ,��, 15SU-e -�, �- E�j�2 L-�s io /��ys , ; M`- � <br /> � � D �� <br />